CAPE COD HEALTHCARE INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: CAPE COD HEALTHCARE INC (EIN 90-0054984)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-12
IRS object ID: 201642259349303919
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule J
Schedule K
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R
Affiliate Listing

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-12T16:43:21-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PricewaterhouseCoopers LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BOULEVARD	AddressLine1Txt
City	Boston	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	900054984	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD HEALTHCARE INC & AFFILIATES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% MICHAEL L CONNORS	InCareOfNm
Business Name Control	CAPE	BusinessNameControlTxt
Phone	5087711800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Person Title	SR VP/CFO	PersonTitleTxt
Phone	5087711800	PhoneNum
Signature	2016-08-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GWEN SPENCER	PreparerPersonNm
PTIN	P00641463	PTIN
Phone	6175305000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL K LAUF	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$793,527,493	GrossReceiptsAmt
Group Return For Affiliates	Yes (true)	GroupReturnForAffiliatesInd
All Affiliates Included	Yes (true)	AllAffiliatesIncludedInd
Group Exemption	3901	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CAPECODHEALTH.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	5392	TotalEmployeeCnt
Total Volunteers	810	TotalVolunteersCnt
Total Gross UBI	$2,805,148	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,000,152	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,458,675	PYContributionsGrantsAmt
CY Contributions Grants	$15,572,146	CYContributionsGrantsAmt
PY Program Service Revenue	$730,482,375	PYProgramServiceRevenueAmt
CY Program Service Revenue	$769,456,161	CYProgramServiceRevenueAmt
PY Investment Income	$9,927,971	PYInvestmentIncomeAmt
CY Investment Income	$6,228,163	CYInvestmentIncomeAmt
PY Other Revenue	$2,138,383	PYOtherRevenueAmt
CY Other Revenue	$2,124,349	CYOtherRevenueAmt
PY Total Revenue	$752,007,404	PYTotalRevenueAmt
CY Total Revenue	$793,380,819	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$390,464,660	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$412,045,456	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$81,984	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$107,645	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,260,933	CYTotalFundraisingExpenseAmt
PY Other Expenses	$323,213,210	PYOtherExpensesAmt
CY Other Expenses	$332,632,591	CYOtherExpensesAmt
PY Total Expenses	$713,759,854	PYTotalExpensesAmt
CY Total Expenses	$744,785,692	CYTotalExpensesAmt
PY Revenues Less Expenses	$38,247,550	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$48,595,127	CYRevenuesLessExpensesAmt
Total Assets BOY	$840,539,548	TotalAssetsBOYAmt
Total Assets EOY	$858,605,441	TotalAssetsEOYAmt
Total Liabilities BOY	$294,045,499	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$290,745,257	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$546,494,049	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$567,860,184	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$673,546,144	ExpenseAmt
Revenue	$769,456,161	RevenueAmt
Desc	PATIENT SERVICES - SEE SCHEDULES H AND O	Desc
Total Program Service Expenses	$673,546,144	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (true)	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	141	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5392	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	MA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL L CONNORS	PersonNm
Phone	5089578540	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (39 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT BIRMINGHAM
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
ELEANOR CLAUS
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
HOWARD CROW JR
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
PHILIP MCLOUGHLIN
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	55.0	5.0	Yes (X)	$0	$1,151,706	$239,881	Yes (X)
GROVER BAXLEY MD
TRUSTEE - SEE SCH J, PART III	40.0	2.0	Yes (X)	$280,082	$0	$12,213
NATE RUDMAN MD
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
JOEL CROWELL
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
SUZANNE FAY GLYNN ESQ
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
PATRICK M FLYNN MD
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
DEWITT DAVENPORT
VICE CHAIRMAN/TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
DIANE COLETTI
TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0
WILLIAM AGEL MD
TRUSTEE UNTIL 1/15SCH J PT III	40.0	2.0	Yes (X)	$534,639	$0	$44,626
WILLIAM ZAMMER Jr
CHAIRMAN/TRUSTEE	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
SUMNER B TILTON JR
TRUSTEE/TREASURER	2.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
PAUL EVANS MD
Trustee from 1/15	2.0	2.0	Yes (X)	$0	$0	$0
JAMES MULCAHY MD
Trustee from 5/15	2.0	2.0	Yes (X)	$0	$0	$0
GARY VACON MD
Trustee from 5/15	2.0	2.0	Yes (X)	$0	$0	$0
THOMAS WROE JR
TRUSTEE UNTIL 5/15	2.0	2.0	Yes (X)	$0	$0	$0
MICHAEL G JONES
Sr VP Chief Legal Off/Clerk	55.0	5.0		$0	$402,905	$77,952	Yes (X)
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	55.0	5.0		$0	$492,021	$83,406	Yes (X)
DIANNE C KOLB
President VNA	45.0	5.0		$0	$250,869	$59,387		Yes (X)
EMILY SCHORER
SVP HUMAN RESOURCES	45.0	5.0		$0	$283,958	$45,996		Yes (X)
JEANNE FALLON
SR VP & CIO	45.0	5.0		$0	$301,092	$69,533		Yes (X)
JEFFREY S DYKENS
COO Falmouth Hospital	45.0	5.0		$0	$283,132	$63,279		Yes (X)
PATRICK KANE
SVP OF MRKTG,COMMUN AND DEVLP	45.0	5.0		$0	$460,528	$57,007		Yes (X)
ARTHUR MOMBOURQUETTE
COO	45.0	5.0		$0	$460,528	$61,852		Yes (X)
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.	45.0	5.0		$0	$273,114	$46,260		Yes (X)
VICTOR OLIVEIRA
VP OF PATIENT SERVICES	45.0	5.0		$0	$291,186	$75,009		Yes (X)
JOHN LIPOMI
SR VP OF MANAGED CARE	45.0	5.0		$0	$438,006	$73,937		Yes (X)
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL	45.0	5.0		$0	$509,662	$91,098		Yes (X)
KEVIN J MULROY
See Sch O for title	45.0	5.0		$0	$381,567	$65,739		Yes (X)
CARTER HUNT
See Sch O for title	45.0	5.0		$0	$191,517	$51,011		Yes (X)
MARY FRANCO
SVP DEVELOPMENT FROM 1/14-5/14	45.0	5.0		$0	$322,081	$21,078		Yes (X)
EMILY TIERNEY MD
PHYSICIAN	40.0	0.0		$1,645,283	$0	$36,989			Yes (X)
RICHARD B ZELMAN MD
PHYSICIAN	40.0	0.0		$1,391,822	$0	$44,626			Yes (X)
ACHILLE PAPAVASILIOU MD
PHYSICIAN	40.0	0.0		$1,067,649	$0	$64,259			Yes (X)
PAUL HOULE MD
PHYSICIAN	40.0	0.0		$1,060,039	$0	$61,669			Yes (X)
GORDON NAKATA MD
PHYSICIAN	40.0	0.0		$917,421	$0	$64,259			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,896,935	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,493,872	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,511,066	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	604	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CAPE COD HEALTHCARE INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	PURCHASED SERVICES	$39,588,940
CAPE COD EMERGENCY ASSOCIATES
C/O DEPAOLA BEGG ASSOC 220 W MA	HYANNIS	MA	02601	PHYSICIAN SERVICES	$9,321,851
CORE MEDICAL GROUP
2 KEEWAYDIN DRIVE	SALEM	NH	03079	CONTRACT RN, PT, OT	$500,075
QUALITY IN REAL TIME
49S CASS STREET	BATTLECREEK	MI	49037	CODING REVIEW SVCS	$471,537
DELTA HEALTH
400 LAKEMOUNT PARK BOULEVARD	ALTOONA	PA	06602	MIS-SUPPORT	$246,523

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	11	CntrctRcvdGreaterThan100KCnt
Fundraising	$22,525	FundraisingAmt
Government Grants	$1,288,624	GovernmentGrantsAmt
All Other Contributions	$14,260,997	AllOtherContributionsAmt
Noncash Contributions	$477,155	NoncashContributionsAmt
Total Contributions	$15,572,146	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PATIENT SERVICE REVENUE	900099	$740,778,369	$740,778,369
LABORATORY SERVICES	621500	$11,679,356	$9,196,708	$2,482,648
QUALITY EARNED PAYMENTS	900099	$5,361,579	$5,361,579
PROGRAM RELATED RENTAL INCOME	900099	$3,680,782	$3,358,282	$322,500
MEANINGFUL USE	900099	$2,979,704	$2,979,704

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,976,371	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,976,371	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$769,456,161	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,951,524	TotalRevenueColumnAmt
Exclusion	$4,951,524	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,276,639	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,276,639	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,276,639	TotalRevenueColumnAmt
Exclusion	$1,276,639	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$252,878	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$22,525	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$146,674	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$106,204	TotalRevenueColumnAmt
Exclusion	$106,204	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA INCOME	900099	$1,701,564	$1,701,564
MEDICAL RECORDS	900099	$100,244	$100,244
EMPLOYEE PHARMACY	900099	$216,337	$216,337

Field	Value	IRS element (for citing)
Other Revenue Total	$2,018,145	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$793,380,819	TotalRevenueColumnAmt
Related Or Exempt Func Income	$766,651,013	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,805,148	UnrelatedBusinessRevenueAmt
Exclusion	$8,352,512	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$856,433	TotalAmt
Program Services	$856,433	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$314,849	TotalAmt
Program Services	$314,849	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$315,527,295	TotalAmt
Program Services	$282,543,776	ProgramServicesAmt
Management And General	$31,734,204	ManagementAndGeneralAmt
Fundraising	$1,249,315	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,610,669	TotalAmt
Program Services	$8,291,328	ProgramServicesAmt
Management And General	$1,269,368	ManagementAndGeneralAmt
Fundraising	$49,973	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$64,515,638	TotalAmt
Program Services	$57,684,341	ProgramServicesAmt
Management And General	$6,563,728	ManagementAndGeneralAmt
Fundraising	$267,569	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$21,220,572	TotalAmt
Program Services	$18,697,332	ProgramServicesAmt
Management And General	$2,427,667	ManagementAndGeneralAmt
Fundraising	$95,573	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$4,128,232	TotalAmt
Program Services	$2,668,990	ProgramServicesAmt
Management And General	$1,459,242	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$202,726	TotalAmt
Program Services	$38,169	ProgramServicesAmt
Management And General	$164,557	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$974,446	TotalAmt
Program Services	$257,319	ProgramServicesAmt
Management And General	$717,127	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$107,645	TotalAmt
Fundraising	$107,645	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$921,175	TotalAmt
Program Services	$91,270	ProgramServicesAmt
Management And General	$829,905	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$30,891,756	TotalAmt
Program Services	$28,931,039	ProgramServicesAmt
Management And General	$1,960,717	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$920,395	TotalAmt
Program Services	$857,034	ProgramServicesAmt
Management And General	$63,361	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,782,390	TotalAmt
Program Services	$4,445,749	ProgramServicesAmt
Management And General	$272,020	ManagementAndGeneralAmt
Fundraising	$64,621	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,784,027	TotalAmt
Program Services	$8,028,601	ProgramServicesAmt
Management And General	$755,426	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,699,354	TotalAmt
Program Services	$15,457,745	ProgramServicesAmt
Management And General	$1,122,495	ManagementAndGeneralAmt
Fundraising	$119,114	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,628,953	TotalAmt
Program Services	$4,398,369	ProgramServicesAmt
Management And General	$230,584	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$8,747,545	TotalAmt
Program Services	$7,874,637	ProgramServicesAmt
Management And General	$872,908	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$26,666,828	TotalAmt
Program Services	$24,176,402	ProgramServicesAmt
Management And General	$2,478,001	ManagementAndGeneralAmt
Fundraising	$12,425	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,168,229	TotalAmt
Program Services	$2,969,741	ProgramServicesAmt
Management And General	$194,901	ManagementAndGeneralAmt
Fundraising	$3,587	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$95,607,249	$95,607,249	$0	$0
PURCHASED SERVICES	$46,298,890	$42,738,989	$3,336,754	$223,147
ADMINISTRATION OFFICE	$40,028,394	$30,284,747	$9,304,193	$439,454
REPAIRS AND MAINTENANCE	$12,973,133	$11,785,127	$1,188,006	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$26,208,869	TotalAmt
Program Services	$24,546,908	ProgramServicesAmt
Management And General	$1,033,451	ManagementAndGeneralAmt
Fundraising	$628,510	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$744,785,692	TotalAmt
Program Services	$673,546,144	ProgramServicesAmt
Management And General	$67,978,615	ManagementAndGeneralAmt
Fundraising	$3,260,933	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$44,261,570	BOYAmt
EOY	$48,422,773	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,396,733	BOYAmt
EOY	$1,401,964	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$12,191,245	BOYAmt
EOY	$11,419,529	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$74,024,491	BOYAmt
EOY	$70,183,932	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$8,717,855	BOYAmt
EOY	$5,956,495	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,739,041	BOYAmt
EOY	$10,858,391	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,338,565	BOYAmt
EOY	$6,857,352	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$628,940,972	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$330,621,437	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$281,665,123	BOYAmt
EOY	$298,319,535	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$366,416,821	BOYAmt
EOY	$363,963,703	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$15,263,755	BOYAmt
EOY	$11,118,346	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,157,829	BOYAmt
EOY	$9,157,829	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,366,520	BOYAmt
EOY	$20,945,592	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$840,539,548	BOYAmt
EOY	$858,605,441	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,776,832	BOYAmt
EOY	$67,214,459	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$483,185	BOYAmt
EOY	$719,573	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,474,770	BOYAmt
EOY	$166,678,346	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$16,874,390	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$34,310,712	BOYAmt
EOY	$39,258,489	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$294,045,499	BOYAmt
EOY	$290,745,257	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$461,827,422	BOYAmt
EOY	$497,943,893	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,273,519	BOYAmt
EOY	$38,531,451	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,393,108	BOYAmt
EOY	$31,384,840	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$546,494,049	BOYAmt
EOY	$567,860,184	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$840,539,548	BOYAmt
EOY	$858,605,441	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$48,595,127	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,968,156	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$10,260,836	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,646,382	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,524,136	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,223,613	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,458,675	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,572,146	CurrentTaxYearAmt
Total	$75,424,952	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$19,646,382	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$13,524,136	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,223,613	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$9,458,675	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,572,146	CurrentTaxYearAmt
Total	$75,424,952	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$3,174,146	SubstantialContributorsTotAmt
Public Support Total170	$72,250,806	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,811,992	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,203,229	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$680,260	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,486,933	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,951,524	CurrentTaxYearAmt
Total	$13,133,938	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$824,627	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$814,019	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$187,290	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,059,076	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,805,148	CurrentTaxYearAmt
Total	$5,690,160	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,879,867	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,261,728	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,163,050	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,088,243	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,018,145	CurrentTaxYearAmt
Total	$10,411,033	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$104,660,083	TotalSupportAmt
Gross Receipts Rltd Activities	$3,540,786,654	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.69034	PublicSupportCY170Pct
Public Support PY170	0.78954	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	false	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	false	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	false	SupportedOrgSectionC456Ind
Supported Org Not Organized US	false	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	false	OrganizationChangeSuprtOrgInd
Support Non Supported Org	false	SupportNonSupportedOrgInd
Payment Substantial Contribtr	false	PaymentSubstantialContribtrInd
Loan Disqualified Person	false	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	false	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	false	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	false	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	false	ExcessBusinessHoldingsRulesInd
Contribution Controller	false	ContributionControllerInd
Contribution Family	false	ContributionFamilyInd
Contribution35 Controlled	false	Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

Field	Value	IRS element (for citing)
Power Appoint Majority Dir Trst	false	PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org	false	OperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	false	TimelyProvidedDocumentsInd
Officers Close Relationship	false	OfficersCloseRelationshipInd
Supported Org Voice Investment	false	SupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Production Income ProductionIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Field	Value	IRS element (for citing)
Discount Claimed	$0	DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

Field	Value	IRS element (for citing)
Prior Year	$0	PriorYearAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
CY Adj Net Income Distributable	$0	CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income	$0	CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable	$0	CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum	$0	CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY	$0	CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

Field	Value	IRS element (for citing)
CY Paid Accomplish Exempt Prps	$0	CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity	$0	CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid	$0	CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid	$0	ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside	$0	QualifiedSetAsideAmt
CY Other Distributions	$0	CYOtherDistributionsAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org	$0	CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
CY Distribution Yr	0.0	CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

Field	Value	IRS element (for citing)
CY Distributable As Adjusted	$0	CYDistributableAsAdjustedAmt
Underdistributions	$0	UnderdistributionsAmt
Excess Distribution Cyov Yr1	$0	ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov	$0	TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY	$0	CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY	$0	CyovAppliedUnderdistrCPYAmt
Excess Distribution Cyov	$0	ExcessDistributionCyovAmt
CY Total Annual Distributions	$0	CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY	$0	CYDistribAppUnderdistriPYAmt
CY Distri App Distributable	$0	CYDistriAppDistributableAmt
Excess Distribution	$0	ExcessDistributionAmt
Remaining Underdistri PY	$0	RemainingUnderdistriPYAmt
Remaining Underdistri CY	$0	RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr	$0	ExcessDistriCyovToNextYrAmt
Excess From Year2	$0	ExcessFromYear2Amt
Excess From Year1	$0	ExcessFromYear1Amt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$1	OtherActivitiesAmt
Total Lobbying Expenditures	$1	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1I	FormAndLineReferenceDesc
Explanation	FALMOUTH HOSPITAL ASSOCIATION, INC. AND CAPE COD HOSPITAL PAY MEMBERSHIP DUES TO THE MASSACHUSETTS HOSPITAL ASSOCIATION WHICH MAY ENGAGE IN LOBBYING ACTIVITIES. THEREFORE, A PORTION OF THE DUES MAY BE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$38,872,003	BeginningYearBalanceAmt
Contributions	$1,523,222	ContributionsAmt
Investment Earnings Or Losses	-$2,217,064	InvestmentEarningsOrLossesAmt
Other Expenditures	$682,541	OtherExpendituresAmt
End Year Balance	$37,495,620	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$36,060,986	BeginningYearBalanceAmt
Contributions	$1,925,651	ContributionsAmt
Investment Earnings Or Losses	$1,613,999	InvestmentEarningsOrLossesAmt
Other Expenditures	$728,633	OtherExpendituresAmt
End Year Balance	$38,872,003	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$35,475,473	BeginningYearBalanceAmt
Contributions	$60,508	ContributionsAmt
Investment Earnings Or Losses	$1,238,094	InvestmentEarningsOrLossesAmt
Other Expenditures	$713,089	OtherExpendituresAmt
End Year Balance	$36,060,986	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$32,638,639	BeginningYearBalanceAmt
Contributions	$435,091	ContributionsAmt
Investment Earnings Or Losses	$3,092,757	InvestmentEarningsOrLossesAmt
Other Expenditures	$691,014	OtherExpendituresAmt
End Year Balance	$35,475,473	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$34,043,109	BeginningYearBalanceAmt
Contributions	$361,842	ContributionsAmt
Investment Earnings Or Losses	-$1,080,437	InvestmentEarningsOrLossesAmt
Other Expenditures	$685,875	OtherExpendituresAmt
End Year Balance	$32,638,639	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.83500	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16500	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,114,813	OtherCostOrOtherBasisAmt
Book Value	$23,114,813	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$385,127,623	OtherCostOrOtherBasisAmt
Depreciation	$158,516,724	DepreciationAmt
Book Value	$226,610,899	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,429,789	OtherCostOrOtherBasisAmt
Depreciation	$2,422,196	DepreciationAmt
Book Value	$1,007,593	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$214,752,117	OtherCostOrOtherBasisAmt
Depreciation	$169,280,006	DepreciationAmt
Book Value	$45,472,111	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,516,630	OtherCostOrOtherBasisAmt
Depreciation	$402,511	DepreciationAmt
Book Value	$2,114,119	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$298,319,535	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
LONG-TERM INVESTMENTS	$294,082,377	F
AGREEMENT / INDENTURE	$10,009,991	F
TEMP RESTRICTED INVESTMENTS	$27,688,661	F
PERM RESTRICTED INVESTMENTS	$31,325,232	F
SHORT TERM INVESTMENTS - FDN	$857,442	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$363,963,703	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$15,570,959
EST. SETTLEMENTS W 3RD PARTIES	$20,963,723
OTHER LONG-TERM LIABILITIES	$2,623,142
ABANDONED PROPERTY	$48,076
OTHER CURRENT LIABILITIES	$52,589

Field	Value	IRS element (for citing)
Total Liability	$39,258,489	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO FURTHER THE HEALTHCARE MISSION OF CAPE COD HEALTHCARE INC., AND ITS AFFILIATES.
SCHEDULE D, PART X, LINE 2	THE ORGANIZATION DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	1	OfficesCnt
Type Of Activities Conducted	Program Services	TypeOfActivitiesConductedTxt
Specific Services Provided	CAPTIVE INSURANCE	SpecificServicesProvidedTxt
Region Total Expenditures	$2,249,045	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Total Office	1	TotalOfficeCnt
Subtotal Spent	$2,249,045	SubtotalSpentAmt
Total Spent	$2,249,045	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	false	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE F, PART I, COLUMN F	FormAndLineReferenceDesc
Explanation	EXPENSES ARE CODED IN THE GENERAL LEDGER TO THE CAPTIVE INSURANCE COMPANY.	ExplanationTxt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	Yes (X)	MailSolicitationsInd
Email Solicitations	Yes (X)	EmailSolicitationsInd
In Person Solicitations	Yes (X)	InPersonSolicitationsInd
Solicitation Of Non Govt Grants	Yes (X)	SolicitationOfNonGovtGrantsInd
Special Fundraising Events	Yes (X)	SpecialFundraisingEventsInd
Agrmt Prof Fundraising Acty	Yes (true)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Field	Value	IRS element (for citing)
Person	VDMBorns Group	PersonNm
Activity	DIRECT MAIL Solicitatio	ActivityTxt
Fundraiser Control Of Funds	false	FundraiserControlOfFundsInd
Gross Receipts	$282,272	GrossReceiptsAmt
Retained By Contractor	$107,645	RetainedByContractorAmt
Net To Organization	$174,627	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$282,272	TotalGrossReceiptsAmt
Total Retained By Contractors	$107,645	TotalRetainedByContractorsAmt
Total Net To Organization	$174,627	TotalNetToOrganizationAmt
Licensed States	CT	LicensedStatesCd
Licensed States	FL	LicensedStatesCd
Licensed States	MA	LicensedStatesCd
Licensed States	SC	LicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA EVENT	Event1Nm
Gross Receipts Event1	$275,403	GrossReceiptsEvent1Amt
Charitable Contri Event1	$22,525	CharitableContriEvent1Amt
Gross Revenue Event1	$252,878	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$3,780	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$48,413	FoodAndBeverageEvent1Amt
Entertainment Event1	$11,480	EntertainmentEvent1Amt
Other Direct Expenses Event1	$83,001	OtherDirectExpensesEvent1Amt
Other Events Total	0	OtherEventsTotalCnt
Gross Receipts Total	$275,403	GrossReceiptsTotalAmt
Charitable Contributions Tot	$22,525	CharitableContributionsTotAmt
Gross Revenue Total Events	$252,878	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$3,780	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$48,413	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$11,480	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$83,001	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$146,674	DirectExpenseSummaryEventsAmt
Net Income Summary	$106,204	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,291,903	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,562,042	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,729,861	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,250,187	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,262,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,987,768	NetCommunityBenefitExpnsAmt
Total Expense	0.02180	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,866,488	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,190,075	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,676,413	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,408,578	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,014,536	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,394,042	NetCommunityBenefitExpnsAmt
Total Expense	0.03190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,720,423	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,720,423	NetCommunityBenefitExpnsAmt
Total Expense	0.00370	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,135,439	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$192,226	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$943,213	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$138,118,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,139,843	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,978,677	NetCommunityBenefitExpnsAmt
Total Expense	0.03270	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,413,413	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,413,413	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$143,387,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,332,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,055,726	NetCommunityBenefitExpnsAmt
Total Expense	0.03960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$246,796,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$194,346,605	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$52,449,768	NetCommunityBenefitExpnsAmt
Total Expense	0.07150	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,733	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$25,733	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,041,764	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,041,764	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,067,497	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,067,497	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$12,240,222	BadDebtExpenseAmt
Bad Debt Expense Attributable	$5,031,298	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$283,436,096	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$267,358,071	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$16,078,025	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Facility Reporting GroupFacilityReportingGroupCd
CAPE COD HOSPITAL
1	27 PARK STREET	HYANNIS	MA	02601	SEE PART V, SECTION C	2135	Yes (X)	Yes (X)	Yes (X)	A
FALMOUTH HOSPITAL ASSOCIATION INC
2	100 TER HEUN DRIVE	FALMOUTH	MA	02540	SEE PART V, SECTION C	2289	Yes (X)	Yes (X)	Yes (X)	A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	A	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	SEE PART V, SECTION C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
None Made	Yes (X)	NoneMadeInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION A	WEBSITES PART V, SECTION A, LINE 1 - CAPE COD HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/CAPE-COD-HOSPITAL PART V, SECTION A, LINE 2 - FALMOUTH HOSPITAL WWW.CAPECODHEALTH.ORG/LOCATIONS/FALMOUTH-HOSPITAL PART V, SECTION B, LINE 5 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL FOLLOWED PROPOSED AND PENDING IRS REGULATIONS AND MA ATTORNEY GENERAL GUIDELINES TO CONDUCT THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT OF POPULATIONS LIVING IN THE SERVICE AREA OF BARNSTABLE COUNTY. INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS COLLECTED FROM OVER 80 COMMUNITY ORGANIZATIONS THAT PARTICIPATED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS THROUGH FOCUS GROUPS, KEY INFORMANT INTERVIEWS AND COMMUNITY INPUT FORUMS. Five focus groups were held in three locations across the service area. Preliminary health status data for Barnstable County and priorities set by previous community health needs assessments were reviewed to determine focus group topics and discussion guides. Focus group discussions focused on the issues of youth, mental health, substance abuse, vulnerable populations, barriers to access of health care services and emerging public health needs. Participants were recruited to focus groups based on their areas of expertise concerning the topics, their broad knowledge of the community or the populations that they represented which included the medically underserved, low-income, minority and vulnerable populations. In addition to focus groups, key informant interviews were conducted with individuals involved in non-profit organizations, public health, law enforcement, health care and social services. The discussion guide prepared for the focus groups was utilized for the interview in order to maintain uniformity in qualitative responses. In addition, two community input forums were hosted to present the identified significant community health needs, receive feedback from community leaders, public health experts and those representing the broad interests of the community, and provide an opportunity for input on the prioritization of identified needs via a post-forum electronic survey. Representatives from the following community organizations participated in focus groups, key informant interviews and community input forums: AIDS Support Group of Cape Cod American Cancer Society Barnstable County Human Rights Commission Barnstable County Human Services Barnstable County Public Health Nurse Barnstable School System Big Brothers Big Sisters of Cape Cod and the Islands Bourne Council on Aging Boys & Girls Club of Cape Cod Cape & Islands Emergency Medical Services System Cape & Islands United Way Cape and Islands Suicide Prevention Coalition Cape Cod Center for Women Cape Cod Community College Cape Cod Council of Churches Cape Disability Network Cape Cod District Attorney's Office Cape Cod Foundation Cape Cod Healthcare Diabetes Center Cape Cod Healthcare Infectious Disease Services Cape Cod Healthcare Regional Cancer Network Cape Cod Healthy Families Cape Cod Immigrant Center Cape Cod Justice for Youth Collaborative Cape Cod Justice for Youth Board Cape Cod Medical Reserve Corps Cape Cod Neighborhood Support Coalition Cape Cod WIC Cape& Islands Gay Straight Youth Alliance CCH Patient and Family Advisory Committee Champ Homes Child and Family Services Children's Study Home COAST (COA's Serving Together) Community Health Center of Cape Cod County Network of Cape Cod Duffy Health Center Elder Services of Cape Cod and the Islands Emerald Physicians Falmouth Housing Authority Falmouth Human Services Falmouth Police Department Falmouth Prevention Partnership Falmouth Service Center Freedom from Addiction Network Gosnold on Cape Cod Health Imperatives Health Imperatives - Hyannis Family Planning Helping Our Women HOPE Dementia and Alzheimer's Services of Cape Cod Hope Health Hyannis Youth and Community Center Kennedy Donovan Center Lower Cape Outreach Council Lyme Awareness of Cape Cod MA Department of Mental Health - Cape Cod Mashpee Council on Aging Mashpee Housing Authority Maternal Depression Task Force National Multiple Sclerosis Society Oral Health Excellence Collaborative Parish Nurse Ministries of Cape Cod Provincetown Council on Aging Reaching Elders with Additional Community Help (REACH) Samaritans on Cape Cod and Islands Sandwich Council on Aging Sandwich Housing Authority Serving the Health Information Needs of Others (SHINE) South Bay Mental Health Specialty Network for the Uninsured St. John's Episcopal Project Truro Council on Aging Veterans Outreach Council Visiting Nurse Association of Cape Cod Women and Adolescent Health at Community Health Center of Cape Cod YMCA of Cape Cod Youth Suicide Prevention Project
PART V, SECTION B, LINE 6(A)	THE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED JOINTLY BY CAPE COD HOSPITAL AND FALMOUTH HOSPITAL. PART V, SECTION B, LINES 7(A) AND 10(A) http://www.capecodhealth.org/app/files/public/198/Community-Health-Needs-A ssessment.pdf PART V, SECTION B, LINE 11 The significant health needs identified in the CHNA include access to care, chronic and infectious disease, mental health and substance abuse. Cape Cod Hospital and Falmouth Hospital are addressing these specific issues through a comprehensive set of implementation strategies that include hospital-based programs, collaborative efforts with numerous regional health partners and providing grants to community based organizations with initiatives that align with CHNA community health improvement strategies. Examples of Cape Cod Hospital and Falmouth Hospital activities to address the significant health priorities include, but are not limited to, the following: Community benefits grants to over 25 community organizations to support health projects aligned with CHNA implementation plan strategies. An expanded Complex Care Program that provides in-home support to high-risk patients with chronic diseases. Clinical collaborations with community-based organizations to provide education and outreach about chronic and infectious diseases. Projects to reach high-risk residents with screening and testing for HIV, Hepatitis B & C, and sexually transmitted diseases have been continued and expanded. Existing clinical affiliations have been built upon to expand access to specialty care and chronic disease services. Primary care providers and specialists have been recruited for the region, including community health centers, based on annual recruitment goals. Residents receive assistance in navigating available primary care and health services through phone-based and online support. Individuals with linguistic barriers to care receive interpreter services in physician offices. Access to a network of health care specialists is coordinated and offered to uninsured or underinsured residents. Hospital staff participates in leadership roles on the Behavioral Health Coalition of Cape Cod & the Islands, the Barnstable County Regional Substance Abuse Council and the Barnstable County Health and Human Services Advisory Council.
Cape Cod Healthcare has launched new initiatives and expansion of	behavioral health services through emergency departments and outpatient locations. Partnerships with key stakeholders have been developed to: Assess the impact of substance abuse on health and community systems; Evaluate current substance abuse prevention and intervention efforts; and Develop comprehensive regional substance abuse prevention and intervention strategies. There were challenges identified in this assessment that fall outside of the core competencies of the two hospitals. These include lack of transportation, homelessness, unemployment, domestic violence and sexual assault. These needs, while quite important to the community, are outside the scope of significant health needs which the Hospitals can reasonably address. They are excluded from the CCH and FH Implementation Plan. Cape Cod Hospital and Falmouth Hospital will rely on other organizations to address these challenges. Outlined below are the specific organizations identified in the community that are working to address these important issues. Transportation Barriers: While transportation was identified as a barrier to obtaining health care services, solving systemic transportation issues requires the skills of organizations such as the Cape Cod Regional Transit Authority (CCRTA) and the Cape Cod Commission who are leading regional efforts to improve transportation in our region. Homelessness: Community input also identified homelessness as a barrier to obtain healthcare services. Cape Cod Hospital and Falmouth Hospital are committed to serving homeless individuals/families in need of acute, primary, specialty, or behavioral health services. Organizations such as Housing Assistance Corporation, Duffy Health Center, Lower Cape Outreach Council, Regional Network to End Homelessness, and regional/town housing authorities lead key efforts to help eliminate housing barriers in the service area. Employment Status: Experiencing unemployment or vulnerability related to job status was identified as a barrier to obtaining healthcare. The skills needed to solve systemic employment issues are better aligned with organizations such as Career Opportunities, and Job Training and Employment Corporation. These agencies will lead efforts to remove barriers to sustainable employment. Domestic Violence and Sexual Assault: As frontline community health providers, the staff at Cape Cod Hospital and Falmouth Hospital plays a vital role in responding to the emergency health needs of victims of domestic violence and sexual assault, in partnership with public safety officials and community-based service providers. The Hospitals rely on the expertise of agencies such as the Cape Cod Center for Women, Children's Cove, and Independence House to provide community leadership on issues related to the education, intervention and prevention of domestic violence and sexual assault.
PART V, SECTION B, LINE 13B	IN SOME CASES, THE MASSACHUSETTS HEALTHCONNECTOR CALCULATOR OR MODIFIED ADJUSTED GROSS INCOME IS USED TO DETERMINE FINANCIAL ASSISTANCE ELIGIBILITY. PART V, SECTION B, LINE 13H STATE REGULATIONS
PART V, SECTION B, LINE 22d	THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS 110% OF THE MEDICARE FEE SCHEDULE. THIS APPLIES TO BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL.

Field	Value	IRS element (for citing)
Facility	70	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (70 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Visiting Nurse Association of Cape Cod
255 Independence Drive	Hyannis	MA	02601	home health
CAPE COD HEALTHCARE CORP
88 LEWIS BAY RD	HYANNIS	MA	02601	ADMINISTRATIVE
Dermatology and Skin Surgery of Cape Cod
35 Wilkens Lane Suite A	Hyannis	MA	02601	medical group practice
FONTAINE MEDICAL CENTER
525 LONG POND DRIVE	HARWICH	MA	02645	Medical Group Practice
BOURNE INTERNAL MEDICINE
1 Trowbridge Road Suite 100	BOURNE	MA	02532	medical group practice
HARRIS SCOTT MD
1 TROWBRIDGE ROAD	BOURNE	MA	02532	Medical Group Practice
Bramblebush Medical Group
21 Bramblebush Park	FALMOUTH	MA	02540	medical group practice
KOEHLER & FEUER
130 NORTH STREET	HYANNIS	MA	02601	Medical Group Practice
Seaside Pediatrics
150 Ansel Hallet Road	West Yarmouth	MA	02673	medical group practice
Manning Jr William J MD
700 Attucks Lane Suite 1A	HYANNIS	MA	02601	medical group practice
ELMER DAVID B MD
60 PARK STREET	HYANNIS	MA	02601	Medical Group Practice
Fontaine OUTPATIENT CENTER
525 Long Pond Drive	Harwich	MA	02645	medical group practice
HASS FAMILY MEDICINE
130 NORTH STREET	HYANNIS	MA	02601	Medical Group Practice
Guo X Y David MD PhD
37 Edgerton Drive	North Falmouth	MA	02556	Medical Group Practice
BAYSIDE INTERNAL MEDICINE
2 JAN SEBASTIAN WAY	SANDWICH	MA	02563	Medical Group Practice
Shapiro Gary MD
One Lynxholm Court	Hyannis	MA	02601	Medical Group Practice
CAPE COD FAMILY MEDICINE
5 INDUSTRIAL DRIVE RTE 28 SUITE 2	MASHPEE	MA	02649	MEDICAL GROUP PRACTICE
FERLEY - NEUROLOGY
40 QUINLAN WAY 2ND FL SUITE 206	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
CHARLES V CASALE MD
37 EDGERTON DRIVE	NORTH FALMOUTH	MA	02556	MEDICAL GROUP PRACTICE
THEODORE A CALIANOS II MD
5 INDUSTRIAL DRIVE SUITE 107	MASHPEE	MA	02649	MEDICAL GROUP PRACTICE
SURGICAL ASSOCIATES OF FALMOUTH
90 TER HEUN DRIVE 3RD FL	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
YARMOUTH INTERNISTS
257 STATION AVENUE	SOUTH YARMOUTH	MA	02664	MEDICAL GROUP PRACTICE
CHATHAM MEDICAL GROUP
1629 MAIN STREET	CHATHAM	MA	02633	MEDICAL GROUP PRACTICE
ENDOCRINE CENTER OF CAPE CODE
40 QUINLAN WAY 2ND FL SUITE 206	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
MALAQUIAS STEPHEN MD
257 STATION AVENUE	SOUTH YARMOUTH	MA	02664	MEDICAL GROUP PRACTICE
RYMZO WALTER T JR MD
171 MAIN STREET	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
CLARK PRACTICE
40 QUINLAN WAY 2ND FL SUITE 206	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
FAL PRIMARY CARESPECIALTY CARE PRACTICE
90 TER HEUN DRIVE SUITE 2300	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
MACC NEUROLOGY - CCHC
46 NORTH STREET	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
CAPE COD PEDIATRICS
55 ROUTE 130	FORESTDALE	MA	02644	MEDICAL GROUP PRACTICE
NAUSET FAMILY PRACTICE
81 OLD COLONY WAY STE D	ORLEANS	MA	02653	MEDICAL GROUP PRACTICE
BARNETT PRACTICE
348 GIFFORD STREET	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
JAMES O'CONNOR MD PRACTICE
107 COUNTY ROAD	NORTH FALMOUTH	MA	02556	MEDICAL GROUP PRACTICE
DEVIN MCMANUS MEDICAL PRACTICE
10 BRAMBLEBUSH DRIVE	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
BAXLEY PRACTICE
51A OCEAN AVENUE	CATAUMET	MA	02534	MEDICAL GROUP PRACTICE
ARTHUR CRAGO MD PRACTICE
315 PALMER AVENUE	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
CAPE HEALTH INSURANCE COMPANY - FOREIGN
C/O CCHC 25 COMMUNICATION WAY	HYANNIS	MA	02601	ADMINISTRATIVE
HEALTHCARE FOUNDATION
0NE FINANCIAL PLACE 297 NORTH STRE	HYANNIS	MA	02601	ADMINISTRATIVE
HEALTHCARE FOUNDATION
HOMEPORT 348C GIFFORD STREET	FALMOUTH	MA	02540	ADMINISTRATIVE
JML CARE CENTER
184 TER HEUN DRIVE	FALMOUTH	MA	02540	SKILLED NUR & REHAB
Cape & Islands Health Services II
14 YELLOW BRICK ROAD	HYANNIS	MA	02601	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
5 INDUSTRIAL DRIVE SUITE 102	MASHPEE	MA	02649	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
200 JONES ROAD	FALMOUTH	MA	02540	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
525 LONG POND DRIVE	HARWICH	MA	02645	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
81 OLD COLONY WAY	ORLEANS	MA	02653	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
2 JAN SEBASTIAN WAY ROUTE 130	SANDWICH	MA	02653	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
860 ROUTE 134 UNIT 2	SOUTH DENNIS	MA	02660	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
1 TROWBRIDGE ROAD	BOURNE	MA	02532	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
68B ROUTE 6A	SANDWICH	MA	02563	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
1629 MAIN STREET	CHATHAM	MA	02633	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
27 PARK STREET	HYANNIS	MA	02601	COLLECTION CENTER
CAPE & ISLANDS HEALTH SERVICES II
30 SHANKPAINTER ROAD	PROVINCETOWN	MA	02657	COLLECTION CENTER
HERITAGE AT FALMOUTH
140 TER HEUN DRIVE	FALMOUTH	MA	02540	ASSISTED LIVING
CAPE COD HUMAN SERVICES
460 WEST MAIN STREET	HYANNIS	MA	02601	OUTPATIENT CLINIC
CAPE COD HUMAN SERVICES
525 LONG POND DRIVE	HARWICH	MA	02645	OUTPATIENT CLINIC
CAPE COD MEDICAL OFFICE BUILDING INC
20 GLEASON STREET	HYANNIS	MA	02601	ADMINISTRATIVE
ORLEANS MEDICAL CENTER
204 MAIN STREET	ORLEANS	MA	02653	MEDICAL GROUP PRACTICE
CAPE COD DERMATOLOGY
134 ANSEL HALLETT ROAD	W YARMOUTH	MA	02673	MEDICAL GROUP PRACTICE
CAPE COD RHEUMATOLOGY CENTER
40 QUINLAN WAY 2ND FL SUITE 206	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
CCHC CARDIOVASCULAR CENTER
25 MAIN STREET	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
ZIAD FARAH MD-FONTAINE MEDICAL CENTER
525 LONG POND DRIVE	HARWICH	MA	02645	MEDICAL GROUP PRACTICE
FONTAINE URGENT CARE CENTER
525 LONG POND DRIVE	HARWICH	MA	02645	MEDICAL GROUP PRACTICE
NEUROLOGY CENTER OF CAPE COD
40 QUINLAN WAY 2ND FL SUITE 206	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
PARK STREET PRIMARY CARE
62 PARK STREET	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
WILLIAM PEGG MD- -OBSGYN PRACTICE
60 PARK STREET	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE
SANDWICH MEDICAL GROUP
STONEHMAN OUTPATIENT2 JAN SEBASTIA	SANDWICH	MA	02563	MEDICAL GROUP PRACTICE
SANDWICH PRIMARY CARE
441 RT 130	SANDWICH	MA	02563	MEDICAL GROUP PRACTICE
UPPER CAPE ORTHOPEDICS
26 EDGERTON DRIVE SUITE C	NORTH FALMOUTH	MA	02556	MEDICAL GROUP PRACTICE
MICHAEL BARNETT MD PRACTICE
348 GIFFORD STREET	FALMOUTH	MA	02540	MEDICAL GROUP PRACTICE
ALL CAPE UROLOGY PRACTICE
20 GLEASON STREET	HYANNIS	MA	02601	MEDICAL GROUP PRACTICE

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C	N/A PART I, LINE 6A N/A
PART I, LINE 7, COLUMN F	THE AMOUNT OF BAD DEBT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN LINE 7, COLUMN F WAS $12,240,222. The amounts reported in the table were calculated using the ratio of patient care cost to charges and by following the Form 990, Schedule H instructions. The total percentage of charity care and certain other community benefits at cost in the table was calculated on a group return basis as required by the Form 990 instructions, and not on a hospital-only basis.
PART II, LINE 6	Cape Cod Healthcare clinical, community benefits and support staff participated in a variety of coalition building activities within the service area to address and improve care related to womens health, behavioral health, chronic disease self management and substance use disorders. Coalition activities ranged from new program development to reach medically underserved populations to the expansion of existing activities to strengthen collaboration between regional health care providers and human service agencies. PART II, LINE 8 WORKFORCE DEVELOPMENT Cape Cod Healthcare's Physician Recruitment program strives to identify areas of unmet need and improve access to primary and specialty care for vulnerable populations, especially those over 65 with public health insurance coverage. Through rigorous efforts highly qualified physicians and physician extenders are recruited and retained to meet the health care needs of residents of Cape Cod. PART III, LINES 2-3 The organization is reporting $5,031,298 of bad debt expense that meets its financial assistance policy. This amount is related to bad debt from both hospitals during FY15 of uninsured patients who were seen in the ER and received medically necessary services. Cape Cod Healthcare receives payments for services rendered from federal and state agencies (under the Medicare and Medicaid programs), managed care payors, commercial insurance companies, and patients. Patient accounts receivable are reported net of contractual allowances and reserves for denials, uncompensated care, and doubtful accounts. The level of reserves is based upon management's assessment of historical and expected net collections, business and economic conditions, trends in Federal and state governmental and private employer health care coverage and other collection indicators. IF A PATIENT IS INELIGIBLE FOR CHARITY CARE BECAUSE HIS OR HER INCOME EXCEEDS THE ELIGIBILITY GUIDELINES, ANY UNCOLLECTIBLE ACCOUNTS RECEIVABLE BALANCE IS WRITTEN OFF TO BAD DEBT AS REPORTED IN PART III, LINE 2.
PART III, LINE 4	REFER TO PAGES 13-14 IN THE ATTACHED AUDITED FINANCIAL STATEMENTS FOR FOOTNOTES RELATED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS AND BAD DEBT.
PART III, LINE 9(B)	Hospital Financial Assistance Programs Patients who are eligible for enrollment in a state public assistance program, like the Massachusetts MassHealth or Health Safety Net programs, are deemed enrolled in a financial assistance program. For all patients that are enrolled in these state public assistance programs, the hospital may only bill those patients for the specific co-payment, co-insurance, or deductible that is outlined in the applicable state regulations and which may further be indicated on the state Medicaid Management Information System. The hospital will seek a specified payment for those patients that do not qualify for enrollment in a Massachusetts state public assistance program, such as out-of-state residents, but who may otherwise meet the general financial eligibility categories of a state public assistance program. For these patients, the payment amount will be set at the hospital, when requested by the patient and based on an internal review of each patients financial status, may offer a patient an additional discount on an unpaid bill. Any such review shall be part of a separate hospital financial assistance program that is applied on a uniform basis to patients, and which takes into consideration the patients documented financial situation and the patients inability to make a payment after reasonable collection actions. Any discount that is provided by the hospital is consistent with federal and state requirements, and does not influence a patient to receive services from the hospital. Populations Exempt from Collection Activities: There are several situations where a patient can be exempted from further billing and collection procedures once the determination is made that the patient is exempt pursuant to State regulations: a) Patients enrolled in a public health insurance program, including but not limited to, MassHealth, Emergency Aid to the Elderly, Disabled and Children, Healthy Start, Childrens Medical Security Plan, or designated a "Low Income Patient" by the Office of Medicaid, subject to the following exceptions: (i) The hospital may seek to bill and collect the co-payments and deductibles that are set forth by each specific program. (ii) The hospital may also initiate billing and collection efforts for a patient who alleges that he or she is a participant in a financial assistance program that covers the costs of the hospital services, but fails to provide proof of such participation. Upon receipt of satisfactory proof that a patient is a participant in a financial assistance program, (including receipt or verification of the signed application) the hospital shall cease its billing and collection activities. (iii) The hospital will not continue collection action on any Low Income Patient for services rendered by the hospital during the period for which he or she has been determined to be a Low Income Patient by the Office of Medicaid. However, the hospital may continue collection action on a Low Income Patient for services rendered prior to the Low Income Patient determination, provided that the current Low Income Patient status has been terminated, expired, or not otherwise identified on the States Virtual Gateway or Recipient Eligibility Verification System. Once a Low Income Patient is determined eligible and enrolled in the Health Safety Net, MassHealth, or certain Commonwealth Care programs, the hospital will cease its billing and collection efforts for services provided prior to the beginning of their eligibility. (iv) The hospitals may seek collection action against any of the patients participating in the programs listed above for non-covered services that the patient has agreed to be responsible for, provided that the hospital obtained the patients prior written consent to be billed for the service.
PART VI, LINE 2	NEEDS ASSESSMENT: The 2014 - 2016 Cape Cod Hospital and Falmouth Hospital Community Health Needs Assessment Report and Implementation Plan was released and made widely available to the public on September 27th, 2013. In an effort to assess the health care needs of their shared service area of Barnstable County, Cape Cod Hospital and Falmouth Hospital collected significant community input and data from national, state, regional and local sources. Special attention was given to vulnerable populations, statewide priorities were considered and the community assets available to meet needs were identified and assessed. An implementation plan related to the significant health needs of Barnstable County residents was developed with outlined goals, objectives, initiatives, resources and potential collaborators. The objectives of the community health needs assessment were to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County and to integrate research findings into community benefit and hospital planning activities that address significant community needs and vulnerable populations. Over 80 community organizations participated in the community health assessment through focus groups, key information interviews and community input forums. Data was collected through a household telephone survey of 464 residents of Barnstable County using a survey instrument adapted from the Centers for Disease Control and Prevention's Behavioral Risk Factor Surveillance System. Primary data collected through community input and the household telephone survey was heavily augmented with secondary data from national, state, and regional sources. The most current Barnstable County health data available was collected, analyzed, synthesized and compared to MA and US data as available. Data collection efforts focused on demographic characteristics, behavioral risk factors associated with health status, disease incidence and prevalence rates, access to care, health status indicators, morbidity/mortality rates and hospital utilization. The significant health needs identified through data collection and community input were distinguished and prioritized based on the frequency, urgency, scope, severity and magnitude of the identified issues. The significant health needs and associated target and vulnerable populations are the foundation for Community Benefits and hospital planning and program implementation spanning Fiscal Years 2014 - 2016. Key data sets featured in the community health needs assessment will be updated annually. Community Benefits and hospital planning activities will be further defined, updated and evaluated through ongoing and annual program evaluation and identification of emerging trends and needs. The following sources were utilized in the most recent community health needs assessments: - Cape Cod Hospital and Falmouth Hospital Utilization Data - Centers for Disease Control and Prevention: Behavioral Risk Factor Surveillance System (BRFSS), Youth Risk Behavioral Surveillance System (YRBSS), National Center for Health Statistics, National Program of Cancer Registries, CDC Wonder Database, Healthy People 2020 - Falmouth Prevention Partnership Community Profile on Youth Substance Abuse in Falmouth 2009 - Massachusetts Department of Elementary and Secondary Education - Massachusetts Department of Labor and Workforce Development - Massachusetts Department of Public Health: Bureau of Substance Abuse Services, MassCHIP (Massachusetts Community Health Information Profile) - Tri-County Collaborative for Oral Health Excellence - U.S. Census Bureau: US Census 2000, US Census 2010, American Community Survey - US Department of Veteran Affairs - Key Informant Interviews - Focus groups - Community forums - Telephone survey of Barnstable County residents - County Health and Human Services department and Local Health Agencies Cape Cod Hospital, Falmouth Hospital and Cape Cod Healthcare conduct formal community health needs assessments every three years. On an ongoing basis, community health needs and emerging trends are regularly assessed through annual community benefits planning and program evaluation, strategic planning, community input and participation in community health coalitions and projects across the service area. Cape Cod Healthcare plays an active role in community coalitions, various regional task force efforts, and health and human service organizations across Barnstable County including leadership participation with Barnstable County Human Services Advisory Council, Behavioral Health Provider Coalition of Cape Cod & the Islands, the Cape Cod Community Health Area Network (CHNA 27) Steering Committee, Cape & Islands Maternal Depression Task Force, My Life, My Health Coalition, Substance Abuse in Pregnancy Task Force, and the Women's Health Task Force. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: FOR THOSE PATIENTS THAT ARE UNINSURED OR UNDERINSURED, THE HOSPITAL WILL WORK WITH THEM TO ASSIST WITH APPLYING FOR AVAILABLE FINANCIAL ASSISTANCE PROGRAMS THAT MAY COVER THEIR UNPAID HOSPITAL BILLS. IN ORDER TO ASSIST UNINSURED AND UNDERINSURED PATIENTS IN FINDING AVAILABLE AND APPROPRIATE FINANCIAL ASSISTANCE PROGRAMS, THE HOSPITAL WILL PROVIDE ALL PATIENTS WITH A GENERAL NOTICE OF THE AVAILABILITY OF PROGRAMS IN BOTH THE INITIAL BILL THAT IS SENT TO PATIENTS AS WELL AS IN GENERAL NOTICES POSTED THROUGHOUT THE HOSPITAL. THE GOAL OF THESE NOTICES IS TO INFORM PATIENTS THAT THEY MAY BE ELIGIBLE TO APPLY FOR COVERAGE WITHIN A FINANCIAL ASSISTANCE PROGRAM, SUCH AS, BUT NOT LIMITED TO, MASSHEALTH, COMMONWEALTH CARE, CHILDREN'S MEDICAL SECURITY PLAN, HEALTHY START, HEALTH SAFETY NET, OR MEDICAL HARDSHIP THROUGH THE HEALTH SAFETY NET. THE HOSPITAL WILL PROVIDE, UPON REQUEST, SPECIFIC INFORMATION ABOUT THE ELIGIBILITY PROCESS TO BE DESIGNATED A LOW INCOME PATIENT UNDER EITHER THE STATE HEALTH SAFETY NET PROGRAM OR THROUGH THE HOSPITAL'S OWN INTERNAL CHARITY CARE PROGRAM. THE HOSPITAL WILL ALSO NOTIFY THE PATIENT ABOUT PAYMENT PLANS THAT MAY BE AVAILABLE TO HIM OR HER BASED ON THE SIZE OF HIS OR HER FAMILY AND FAMILY INCOME.
PART VI, LINE 4	COMMUNITY INFORMATION: Cape Cod Hospital, Falmouth Hospital and their parent organization, Cape Cod Healthcare, together share the service area of Barnstable County which comprises the geographically isolated region of Cape Cod, approximately 70 miles from Boston, MA. Barnstable County is comprised of 15 towns with a year-round population of 215,888. It is estimated that more than five million visitors come to the area each year, primarily in the summer and fall seasons. Cape Cod Hospital and Falmouth Hospital provide acute care and outpatient services to all communities of Barnstable County. The largest town in the service area is the Town of Barnstable which has over 45,000 year-round residents. The smallest town is Truro, which has 2,000 year-round residents. Current and historical demographic data from the US Census department clearly demonstrates a population skewed towards older adults. This population significantly increases the demand for and consumption of healthcare services. Overall, the population of Barnstable County is old and getting older. Seniors, over the age of 65, now represent 25% of the total population. In addition, middle-aged residents known as "baby boomers" (born between 1946 and 1964) represent another 25% of the Cape population. The County median age grew to 49.9 years in 2010 - a 12% increase from 2000. Comparatively, Barnstable County's median age is more than a decade older than the Massachusetts (MA) and the United States (US) median age averages. From 2000-2010, the number of residents in Barnstable County over the age of 65 grew by 5%. The most notable change occurred among residents over the age of 85, for which there was growth of 29%. Seniors relying on Social Security income is significantly higher in Barnstable County at 41% compared to 28% for the state and 28% nationally. As baby boomers age into retirement over the next decade, demands on the healthcare system will increase even further. Concurrently, younger residents have migrated out of the service area and birth rates have declined. Barnstable County's overall population declined by 3% from 2000 to 2010, primarily due to an 18% decrease in population of residents aged 0-44. Annual birth counts in Barnstable County demonstrated a slow but continuous decline between 2000 (1,992) and 2010 (1,711). However, due to earlier birth trends and relocations by families to the Cape during the 1990's, there has been a net positive increase in residents aged 15-24 over the past two decades. Residents of the Cape cross all economic boundaries, from affluent to economically challenged, vulnerable populations. Recent data estimates from the American Community Survey 2007-2011 indicate that the percentage of families living in poverty has increased by 1%, and the percentage of individuals living in poverty has increased by 2% since 2000. The most notable increase occurred in children under 18 years old living in poverty, which grew from 6% in 2000 to 12% in 2011. Despite growing rates of poverty among some segments, the median household income for Barnstable County increased overall by 32% from $45,933 in 2000 to $60,525 based on a five-year estimate from 2007-2011. The median household income for Barnstable County is somewhat greater than the United States ($52,762) but still less than Massachusetts ($65,981). The "Cape" is home to a broad mix of retirees, working people and the unemployed. Military veterans comprise 14% of the Cape population, versus 8% state-wide. There is a lack of racial and ethnic diversity in Barnstable County. The general race and ethnicity breakdown remains essentially unchanged. Barnstable County is still predominately white, comprising 95% of the total population in 2010, compared to 96% in 2000. There have been some incremental increases in minority representations, such as Hispanic and Asian populations. Linguistic challenges have increased over the past decade with more new residents for whom English is not a primary language.
PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH: Cape Cod Healthcare conducts a Community Health Needs Assessment every three years to determine the significant health care needs of the residents of Barnstable County. The objective of the assessment is to gather statistically valid information and accurate comparisons to state and national benchmarks of health and quality of life measures for residents of Barnstable County. The target populations, significant health needs and available resources to address those health needs are integrated into community benefit and hospital planning activities including direct clinical programs, health education, wellness promotion, financial support and community engagement activities. The following is a list of FY15 target populations: - INDIVIDUALS MANAGING OR AT RISK OF CHRONIC AND/OR INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, DIABETES, HIV/AIDS, HEPATITIS C OR DENTAL DISEASE. - RESIDENTS FACING BARRIERS TO ACCESS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. - COMMUNITY MEMBERS MANAGING MENTAL HEALTH CONDITIONS. - COMMUNITY MEMBERS WITH SUBSTANCE USE DISORDERS. - SENIOR POPULATION, AGES 65 AND OLDER. - YOUTH AND YOUNG ADULTS, AGES 15 TO 24 YEARS OLD. Cape Cod Healthcare and the Cape Cod Healthcare Community Benefits department supported the following programs in FY15: INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS WHO FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. Specialty Network for the Uninsured CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER - HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO WILL PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. Prescription Assistance Program THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO ASSIST UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. Transportation Assistance Program IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. DUFFY HEALTH CENTER: SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY15, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT FOR HEALTH CENTER PATIENTS. SUPPORT GROUPS AND HEALTH EDUCATION CLASSES AT CAPE COD HOSPITAL AND FALMOUTH HOSPITAL AT CAPE COD AND FALMOUTH HOSPITAL, SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING AND FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES AND GROUPS ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND CAREGIVERS INCLUDE IN-PERSON MEETINGS AND CONTACTS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. WORKFORCE AND CAREER DEVELOPMENT INITIATIVES: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. SUPPORTING COMPLEX CARE MANAGEMENT INITIATIVES AT THE COMMUNITY HEALTH CENTER OF CAPE COD CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) TO SUPPORT EXPANSION OF SCREENING AND CARE COORDINATION FOR HIGH RISK PATIENTS WITH CHRONIC DISEASE OR BEHAVIORAL HEALTH NEEDS AND PROVIDE REFERRALS TO COMMUNITY-BASED WELLNESS PROGRAMS. INTEGRATING BEHAVIORAL HEALTH SERVICES WITH COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO OUTER CAPE HEALTH SERVICES FOR THE EXPANSION OF COMPLEX CARE MANAGEMENT SERVICES AND INTEGRATION OF BEHAVIORAL HEALTH COUNSELING FOR HIGH-RISK PATIENTS ON THE LOWER AND OUTER CAPE. THE PROGRAM FEATURES IN-HOME VISITS FOR PATIENTS WHO ARE GEOGRAPHICALLY AND SOCIALLY ISOLATED, IMMOBILE OR WOULD OTHERWISE RELY UPON EMERGENCY MEDICAL SERVICE PROVIDERS EVEN FOR NON-URGENT CARE. HIV AND HEPATITIS C RAPID TESTING AND EDUCATION PROGRAM: AIDS SUPPORT GROUP OF CAPE COD CAPE COD HEALTHCARE PROVIDED GRANT FUNDING TO THE AIDS SUPPORT GROUP OF CAPE COD TO SUPPORT A MOBILE RAPID HIV AND HEPATITIS C COUNSELING AND TESTING PROGRAM TO REACH HIGH-RISK, HARD TO REACH POPULATIONS OF BARNSTABLE COUNTY. CREATION OF FREE FAMILY AND INDIVIDUAL COUNSELING SERVICES FOR THE DEMENTIA COMMUNITY OF CAPE COD: ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER IN AN EFFORT TO SUPPORT CAREGIVERS IN OUR REGION, A CAPE COD HEALTHCARE COMMUNITY BENEFITS GRANT WAS MADE TO ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER TO PROVIDE FREE FAMILY AND INDIVIDUAL COUNSELING AND EDUCATION FOR FAMILIES AND INDIVIDUALS SUFFERING ALZHEIMER'S DISEASE AND AGE RELATED DEMENTIA. FOODS TO ENCOURAGE - NUTRITION'S ROLE IN DIABETES AND HYPERTENSION TREATMENT AND PREVENTION PILOT PROGRAM: CAPE COD HUNGER NETWORK "FOODS TO ENCOURAGE" IS A PILOT PROGRAM TO MONITOR AND IMPROVE DIABETES AND HYPERTENSION DISEASE OUTCOMES IN LOW TO MODERATE INCOME RESIDENTS WHO ACCESS FOOD FROM CAPE FOOD PANTRIES. CAPE COD REGIONAL SUBSTANCE ABUSE EDUCATION AND PREVENTION INITIATIVE CAPE COD HEALTHCARE HAS LED A COLLABORATIVE EFFORT TO INCREASE SUBSTANCE USE EDUCATION AND PREVENTION PROGRAMS AND ACTIVITIES FOR YOUTH ACROSS BARNSTABLE COUNTY. HEALTHY PARKS, HEALTHY PEOPLE: A WELLNESS COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE TO PROMOTE WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. LIVESTRONG CANCER SURVIVORSHIP PROGRAM AT THE YMCA CAPE COD LIVESTRONG AT THE YMCA CAPE COD IS A FREE 12-WEEK PROGRAM FOR CANCER SURVIVORS SPECIALLY DESIGNED TO HELP SURVIVORS REGAIN PHYSICAL STRENGTH, OVERCOME FATIGUE, INCREASE FLEXIBILITY AND BUILD SOCIAL CONNECTIONS TO OTHER SURVIVORS.
PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEMS ROLES: THE HOSPITALS ARE PART OF AN AFFILIATED HEALTHCARE SYSTEM AND THEIR RESPECTIVE ROLES ARE: CAPE COD HOSPITAL - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN HYANNIS, MASSACHUSETTS FALMOUTH HOSPITAL ASSOCIATION, INC. - A NOT-FOR-PROFIT ACUTE CARE HOSPITAL LOCATED IN FALMOUTH, MASSACHUSETTS CAPE COD HEALTHCARE, INC. - A NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE PARENT COMPANY OF VARIOUS ENTITIES PROVIDING HEALTH CARE SERVICES TO THE POPULATION OF CAPE COD, MASSACHUSETTS CAPE COD HEALTHCARE FOUNDATION, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE DEVELOPMENT AND FUNDRAISING SUPPORT TO CAPE COD HEALTHCARE CAPE AND ISLANDS HEALTH SERVICES II, INC. - A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROVIDE VARIOUS NONHOSPITAL HEALTH CARE SERVICES MEDICAL AFFILIATES OF CAPE COD, INC. - A NOT-FOR-PROFIT MEDICAL GROUP PRACTICE VISITING NURSE ASSOCIATION OF CAPE COD - A NOT-FOR-PROFIT PROVIDER OF HOME HEALTH SERVICES CAPE COD HUMAN SERVICES, INC. - A NOT-FOR-PROFIT PROVIDER OF OUTPATIENT MENTAL HEALTH SERVICES FALMOUTH ASSISTED LIVING, INC., D/B/A HERITAGE AT FALMOUTH - A NOT-FOR-PROFIT CORPORATION THAT OWNS AN ASSISTED LIVING FACILITY JML CARE CENTER, INC. - A NOT-FOR-PROFIT SKILLED NURSING AND REHABILITATION FACILITY CAPE HEALTH INSURANCE COMPANY - A CAPTIVE INSURANCE COMPANY THAT PROVIDES MEDICAL PROFESSIONAL AND GENERAL LIABILITY INSURANCE TO CAPE COD HEALTHCARE CAPE COD HOSPITAL MEDICAL OFFICE BUILDING - A PROVIDER OF LEASED AND SUBLEASED SPACE TO CAPE COD HOSPITAL AND RELATED AFFILIATIONS PART VI, LINE 7 ALL STATES WHERE ORGANIZATION FILES A COMMUNITY BENEFITS REPORT: MA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (23 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIANNE C KOLB
President VNA	$0	$205,082	$0	$34,725	$0	$11,062	$0	$36,600	$0	$22,787	$0	$310,256	$0	$5,728
MICHAEL G JONES
Sr VP Chief Legal Off/Clerk	$0	$312,105	$0	$78,906	$0	$11,894	$0	$41,593	$0	$36,359	$0	$480,857	$0	$10,088
MICHAEL K LAUF
PRESIDENT/CEO/TRUSTEE	$0	$754,241	$0	$300,000	$0	$97,465	$0	$199,494	$0	$40,387	$0	$1,391,587	$0	$65,977
GROVER BAXLEY MD
TRUSTEE - SEE SCH J, PART III	$256,748	$0	$0	$0	$23,334	$0	$10,354	$0	$1,859	$0	$292,295	$0	$0	$0
MICHAEL L CONNORS
SENIOR VP FINANCE/CFO	$0	$374,573	$0	$96,059	$0	$21,389	$0	$50,597	$0	$32,809	$0	$575,427	$0	$12,310
EMILY TIERNEY MD
PHYSICIAN	$832,195	$0	$812,915	$0	$173	$0	$23,931	$0	$13,058	$0	$1,682,272	$0	$0	$0
EMILY SCHORER
SVP HUMAN RESOURCES	$0	$225,778	$0	$57,550	$0	$630	$0	$11,281	$0	$34,715	$0	$329,954	$0	$0
JEANNE FALLON
SR VP & CIO	$0	$246,997	$0	$50,155	$0	$3,940	$0	$41,524	$0	$28,009	$0	$370,625	$0	$2,974
JEFFREY S DYKENS
COO Falmouth Hospital	$0	$236,355	$0	$24,300	$0	$22,477	$0	$26,762	$0	$36,517	$0	$346,411	$0	$5,859
WILLIAM AGEL MD
TRUSTEE UNTIL 1/15SCH J PT III	$481,123	$0	$38,150	$0	$15,366	$0	$10,400	$0	$34,226	$0	$579,265	$0	$0	$0
RICHARD B ZELMAN MD
PHYSICIAN	$1,122,708	$0	$225,000	$0	$44,114	$0	$10,400	$0	$34,226	$0	$1,436,448	$0	$0	$0
ACHILLE PAPAVASILIOU MD
PHYSICIAN	$592,822	$0	$474,197	$0	$630	$0	$27,900	$0	$36,359	$0	$1,131,908	$0	$0	$0
PAUL HOULE MD
PHYSICIAN	$595,412	$0	$463,997	$0	$630	$0	$27,900	$0	$33,769	$0	$1,121,708	$0	$0	$0
GORDON NAKATA MD
PHYSICIAN	$592,822	$0	$323,969	$0	$630	$0	$27,900	$0	$36,359	$0	$981,680	$0	$0	$0
PATRICK KANE
SVP OF MRKTG,COMMUN AND DEVLP	$0	$305,355	$0	$75,715	$0	$9,594	$0	$24,198	$0	$32,809	$0	$447,671	$0	$7,788
ARTHUR MOMBOURQUETTE
COO	$0	$397,030	$0	$54,000	$0	$9,498	$0	$36,404	$0	$25,448	$0	$522,380	$0	$0
THERESA M AHERN
SVP, STRAT, COMMUNITY/GOV REL.	$0	$217,031	$0	$49,500	$0	$6,583	$0	$21,628	$0	$24,632	$0	$319,374	$0	$4,790
VICTOR OLIVEIRA
VP OF PATIENT SERVICES	$0	$231,920	$0	$47,430	$0	$11,836	$0	$38,650	$0	$36,359	$0	$366,195	$0	$7,071
JOHN LIPOMI
SR VP OF MANAGED CARE	$0	$340,779	$0	$79,582	$0	$17,645	$0	$48,005	$0	$25,932	$0	$511,943	$0	$8,993
DONALD GUADAGNOLI MD
CMO CAPE COD HOSPITAL	$0	$411,819	$0	$84,702	$0	$13,141	$0	$53,739	$0	$37,359	$0	$600,760	$0	$2,292
KEVIN J MULROY
See Sch O for title	$0	$318,057	$0	$49,725	$0	$13,785	$0	$29,013	$0	$36,726	$0	$447,306	$0	$3,362
CARTER HUNT
See Sch O for title	$0	$168,832	$0	$22,327	$0	$358	$0	$17,500	$0	$33,511	$0	$242,528	$0	$0
MARY FRANCO
SVP DEVELOPMENT FROM 1/14-5/14	$0	$107,863	$0	$50,000	$0	$164,218	$0	$6,563	$0	$14,515	$0	$343,159	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Form 990, Part VII, Section A

Grover Baxley, MD AND WILLIAM AGEL, MD WERE compensated in THEIR capacity as physicians, not as trustees. Schedule J, Part I, Line 4(a): Severance Payments Mary Franco, SVP of Development (from 1/14-5/14) received severance payments of $153,454 during calendar year 2014. The arrangement provides for continued payment of the individual's salary and benefit for a period of 15 months, including medical and dental insurance coverage. SCHEDULE J, PART I, LINE 4B: 457(F) CAPE COD HEALTHCARE, INC. AND AFFILIATES SPONSORS A 457(F) VOLUNTARY PERSONAL DEFERRAL PLAN ("THE PLAN") FOR KEY EXECUTIVES. VESTING IS DEFERRED FOR AT LEAST TWO YEARS FROM THE DATE OF THE AWARD. THE PLAN OFFERS PARTICIPATING EMPLOYEES AN ANNUAL DEFERRAL OF CASH COMPENSATION. AMOUNTS DEFERRED UNDER THE PLAN ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND AMOUNTS PAID UNDER THE PLAN DURING CALENDAR YEAR 2014 WERE AS FOLLOWS: - MICHAEL K. LAUF - $65,977 - MICHAEL L. CONNORS - $12,310 - MICHAEL G. JONES - $10,088 - VICTOR OLIVEIRA - $7,071 - JEFFREY S. DYKENS - $5,859 - DIANNE C. KOLB - $5,728 - JOHN LIPOMI - $8,993 - KEVIN MULROY - $3,362 - THERESA AHERN - $4,790 - JEANNE FALLON - $2,974 - DONALD GUADAGNOLI, MD - $2,292 - PATRICK KANE - $7,788 CAPE COD HEALTHCARE, INC. AND AFFILIATES ALSO SPONSOR A NONQUALIFIED PENSION RESTORATION ACCOUNT PLAN FOR KEY EXECUTIVES. THE ORGANIZATION MAKES CONTRIBUTIONS OF TWO PERCENT OF THE INDIVIDUAL'S ANNUAL SALARY AS OF THE BEGINNING OF THE PLAN YEAR. AMOUNTS DEFERRED ARE INCLUDED IN SCHEDULE J, PART II, COLUMN (C) AND UNDER THE PLAN, PARTICIPANTS ARE ENTITLED TO CERTAIN BENEFITS UPON RETIREMENT, TERMINATION, OR DEATH. During calendar year 2014, Michael Lauf also participated in a Section 457(f) plan. Twelve percent of his base salary was contributed and each contribution is subject to a three year vesting schedule. The amount deferred in calendar year 2014 was $102,000 and is included in Schedule J, Part II, Column (C). No amounts were paid during calendar year 2014.

SCHEDULE J, PART I, LINE 7

Discretionary bonuses are awarded annually based upon both the performance of the organization and the individual. Bonuses are reflected in Schedule J, Part II, Column B(ii). THE INDIVIDUALS REPORTED IN SCHEDULE J, PART II REPORTED AS BEING PAID FROM A RELATED ORGANIZATION WERE EMPLOYEES OF, AND COMPENSATED BY CAPE COD HEALTHCARE, INC., THE PARENT CORPORATION.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MHEFA REVENUE BONDS SERIES D
A	042456011	57586ERM5	2010-02-16	$63,314,516	Reissue of Series D (12/23/2004)	false	false	false
MHEFA REVENUE BONDS SERIES E
B	042456011		2012-01-12	$29,440,000	Reissue of Ser E(6/18/08)&(2/12/09	false	false	false
MDFA REVENUE BONDS SERIES 2012A
C	043431814		2012-02-24	$25,800,000	REFUND SER.B(8/15/98)&C(11/15/01)	false	false	false
MDFA REVENUE BONDS SERIES 2013
D	043431814	57584VAH8	2013-07-11	$50,831,729	REFUND SER C(10/9/01)& CAPITAL IMP	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$7,495,000	$0	$63,314,516	$3,986,259	$0	$0	$914,516	$0	$0	$0	$62,400,000	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$10,794,667	$0	$29,440,000	$0	$0	$0	$0	$0	$0	$0	$29,440,000	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
C	$7,740,000	$0	$25,800,000	$0	$0	$0	$336,100	$0	$0	$0	$25,463,900	$0	2012	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$50,834,109	$519,529	$1,295,804	$0	$803,269	$0	$0	$27,999,812	$20,735,223	$0	2014	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	Yes (true)
B							Yes (true)
C							Yes (true)
D	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	Yes (true)	false	false	false	0	false	Yes (true)
0
B	false	false	Yes (true)	Yes (true)	Yes (true)	false	false	0	false	Yes (true)
0
C	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV, LINE 2(C)	FormAndLineReferenceDesc
Explanation	MHEFA, REVENUE BONDS, SERIES D - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 6/30/2014. MHEFA, REVENUE BONDS, SERIES E - THE DATE THE REBATE COMPUTATION WAS LAST PERFORMED WAS 7/12/2012.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MDFA REVENUE BONDS SERIES 2014	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	043431814	BondIssuerEIN
Bond Issued	2014-09-29	BondIssuedDt
Issue Price	$24,000,000	IssuePriceAmt
Purpose	RENOVATION & REAL ESTATE PURCHASE	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$24,001,267	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$241,456	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$23,759,811	CapitalExpendituresAmt
Other Spent Proceeds	$0	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	false	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DR KATIE RUDMAN
SPOUSE OF TRUSTEE	$187,044	MACC EMPLOYEE	false
DR DALE WELDON
SPOUSE OF OFFICER	$125,355	HOSPITAL EMPLOYEE	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	27	ContributionCnt
Noncash Contributions Rpt F990	$477,155	NoncashContributionsRptF990Amt
Method Of Determining Revenues	VALUE OF STOCK REC'D	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I, COLUMN (B)	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS RECEIVED. SCHEDULE M, PART I, LINE 32(A) ON OCCASION THE ORGANIZATION UTILIZES A BROKER TO DISPOSE OF NONCASH CONTRIBUTIONS (OTHER THAN PUBLICLY TRADED SECURITIES).	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (24 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 1 AND PART III, LINE 1	WE WILL BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR CAPE COD RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTH CARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE WILL PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. COMMUNITY BENEFITS MISSION STATEMENT CAPE COD HEALTHCARE, INC., THROUGH ITS COMMUNITY BENEFITS INITIATIVE, IS COMMITTED TO ENHANCING THE QUALITY OF AND ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES FOR ALL THE RESIDENTS OF CAPE COD. THROUGH CONTINUOUS ASSESSMENT OF COMMUNITY NEEDS, COORDINATED PLANNING AND THE ALLOCATION OF RESOURCES, THIS COMMITMENT INCLUDES A SPECIAL FOCUS ON THE UNMET NEEDS OF THE FINANCIALLY DISADVANTAGED AND UNDERSERVED POPULATIONS. WE WILL TAKE A LEADERSHIP ROLE IN COLLABORATIVE EFFORTS JOINING OUR RESOURCES, TALENT, AND COMMITMENT WITH THAT OF OTHER PROVIDERS, ORGANIZATIONS AND COMMUNITY MEMBERS. THE COMMUNITY BENEFITS MISSION STATEMENT WAS AFFIRMED BY THE CCHC COMMUNITY HEALTH COMMITTEE AND THE BOARD OF TRUSTEES IN 2000 AND REMAINS IN EFFECT. TARGET POPULATIONS 1. NAME OF TARGET POPULATION: INDIVIDUALS MANAGING OR AT RISK OF CHRONIC AND/OR INFECTIOUS DISEASES SUCH AS CANCER, CARDIOVASCULAR DISEASE, DIABETES, HIV/AIDS, HEPATITIS C OR DENTAL DISEASE. BASIS FOR SELECTION: ALIGNED WITH STATEWIDE HEALTH PRIORITIES AND NATIONAL STATISTICS, RESIDENTS MANAGING CHRONIC ILLNESS ARE AT THE GREATEST RISK OF DECLINED HEALTH AND DEATH. CANCER, CARDIOVASCULAR-RELATED DISEASE, DIABETES, INFECTIOUS DISEASES AND ORAL HEALTH ISSUES ARE HIGHLY REPRESENTED AMONG RESIDENTS OF BARNSTABLE COUNTY. THIS TARGET POPULATION WAS IDENTIFIED AND SELECTED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THIS POPULATION IS CURRENTLY SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICES PROVIDERS IN OUR REGION BUT UNMET NEEDS STILL EXIST. 2. NAME OF TARGET POPULATION: RESIDENTS FACING BARRIERS TO ACCESS TO CARE DUE TO LANGUAGE, COST, OR AGE, INCLUDING THOSE WHO ARE UNINSURED OR UNDER-INSURED. BASIS FOR SELECTION: NEARLY 93% OF RESIDENTS IN BARNSTABLE COUNTY HAVE HEALTH INSURANCE COVERAGE BUT SIGNIFICANT ISSUES RELATED TO ACCESS TO CARE STILL EXIST. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE REPORT IDENTIFIED THE AVAILABILITY OF PRIMARY CARE AND SPECIALTY CARE PROVIDERS, OUT-OF-POCKET EXPENSES, A LACK OF KNOWLEDGE OF AVAILABLE SERVICES AND LINGUISTIC CHALLENGES AS SPECIFIC BARRIERS FOR THIS TARGET POPULATION. 3. NAME OF TARGET POPULATION: COMMUNITY MEMBERS MANAGING MENTAL HEALTH CONDITIONS. BASIS FOR SELECTION: ACCESS TO ADEQUATE MENTAL HEALTH CARE IS AN AREA OF CONCERN IN BARNSTABLE COUNTY, AS EVIDENCED BY AN INCREASE IN SUICIDE RATES, AND THE HIGH NUMBER OF PATIENTS PRESENTING WITH MENTAL HEALTH CONDITIONS IN HOSPITAL EMERGENCY CENTERS. RESIDENTS MANAGING MENTAL HEALTH DISORDERS ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS IN OUR REGION BUT UNMET NEEDS INCLUDING A SHORTAGE OF AVAILABLE PSYCHIATRIC PROVIDERS AND CHALLENGES NAVIGATING AVAILABLE SERVICES STILL EXIST. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 4. NAME OF TARGET POPULATION: COMMUNITY MEMBERS WITH SUBSTANCE USE DISORDERS. BASIS FOR SELECTION: THE ISSUE OF SUBSTANCE USE DISORDER IS A CRITICAL HEALTH CHALLENGE FOR THE HEALTH SYSTEM AND COMMUNITY IN BARNSTABLE COUNTY. THE OVERALL RATES OF SUBSTANCE USE TREATMENT ADMISSIONS ARE HIGHER IN BARNSTABLE COUNTY THAN MA, SPECIFICALLY FOR ALCOHOL AS A PRIMARY SUBSTANCE. IN ADDITION, TREATMENT ADMISSIONS FOR OPIATES AS A PRIMARY SUBSTANCE OF USE GREW FROM 11% IN 2007 TO 28% IN 2011. ALTHOUGH RESIDENTS WITH SUBSTANCE ABUSE ISSUES ARE SERVED THROUGH A NETWORK OF HEALTH CARE AND TREATMENT PROVIDERS IN OUR REGION, UNMET NEEDS SUCH AS AVAILABILITY OF ACUTE DETOX AND TREATMENT OPTIONS AND NAVIGATION OF SERVICES STILL EXIST. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. 5. NAME OF TARGET POPULATION: SENIOR POPULATION, AGES 65 AND OLDER. BASIS FOR SELECTION: ACCORDING TO THE 2010 U.S. CENSUS, THE POPULATION OF INDIVIDUALS AGE 65 AND OLDER REPRESENT OVER 25% OF THE YEAR ROUND POPULATION IN BARNSTABLE COUNTY WITH A SIGNIFICANT INCREASE OF RESIDENTS OVER THE AGE OF 85 BETWEEN 2000 AND 2010. NEARLY 40% OF ALL HOUSEHOLDS REPORT A RESIDENT OVER THE AGE OF 65. HIGH UTILIZATION OF THE HEALTH CARE SYSTEM, ACCESS TO CARE AND NAVIGATION OF RESOURCES HAVE BEEN PRESENTED AS CRITICAL ISSUES IN OUR REGION. THIS SPECIFIC TARGET POPULATION WAS IDENTIFIED IN THE 2014- 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT.
6. NAME OF TARGET POPULATION: YOUTH AND YOUNG ADULTS, AGES 15 TO 24	YEARS OLD. BASIS FOR SELECTION: YOUTH AND YOUNG ADULTS, AGES 15 - 24 YEARS OLD, WERE IDENTIFIED THROUGH THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AS A SPECIFIC AT-RISK POPULATION DUE TO INCREASING RATES OF SUBSTANCE ABUSE TREATMENT ADMISSIONS, SEXUALLY TRANSMITTED DISEASES AND MOTOR VEHICLE ACCIDENTS. THIS POPULATION IS SERVED THROUGH A NETWORK OF HEALTH CARE AND SOCIAL SERVICE PROVIDERS BUT UNMET NEEDS STILL EXIST. PUBLICATION OF TARGET POPULATIONS WEBSITE, OTHER- ATTORNEY GENERAL WEBSITE HOSPITAL/HMO WEB PAGE PUBLICIZING TARGET POP. HTTP://WWW.CAPECODHEALTH.ORG/COMMUNITY KEY ACCOMPLISHMENTS OF REPORTING YEAR CAPE COD HEALTHCARE UTILIZED THE 2014-2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION PLAN TO PRIORITIZE AND GUIDE ALL HEALTH IMPROVEMENT ACTIVITIES. EXISTING HOSPITAL PROGRAMS AND CLINICAL SERVICE LINES HAVE BEEN STRENGTHENED, COLLABORATIONS WITH COMMUNITY BASED HEALTH AND HUMAN SERVICE ORGANIZATIONS EXPANDED AND NEW INITIATIVES LAUNCHED TO ADDRESS THE REGIONAL HEALTH PRIORITIES OF CHRONIC AND INFECTIOUS DISEASE, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS. IN FY2015, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL RECEIVED RECOGNITION FOR CLINICAL EXCELLENCE AND ACHIEVEMENT RELATED TO ACCESS TO CARE AND CHRONIC DISEASE: o CAPE COD HOSPITAL WAS NAMED ONE OF THE 100 GREAT COMMUNITY HOSPITALS IN THE US BY BECKER'S HOSPITAL REVIEW o CAPE COD HOSPITAL AND FALMOUTH HOSPITAL WERE NAMED 2015 IVANTAGE HEALTHSTRONG TOP HOSPITALS o CAPE COD HOSPITAL RECEIVED THE 2015 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE o CAPE COD HOSPITAL RECEIVED THE 2015 DISTINGUISHED HOSPITAL WOMEN'S HEALTH EXCELLENCE AWARD o CAPE COD HOSPITAL WAS NAMED AMONG AMERICA'S 100 BEST HOSPITALS FOR CARDIAC CARE AND AMERICA'S 100 BEST HOSPITALS FOR CORONARY INTERVENTION o CAPE COD HOSPITAL WAS RECOGNIZED AS ONE OF AMERICA'S BEST 100 HOSPITALS FOR ORTHOPEDIC SURGERY AND AMERICA'S BEST 100 HOSPITALS FOR PROSTATE SURGERY o FALMOUTH HOSPITAL EARNED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES- STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD CLINICAL CARE ACHIEVEMENTS WERE MATCHED BY INNOVATIVE COMMUNITY-BASED PROGRAMS FOCUSED ON PREVENTION AND MANAGEMENT OF CHRONIC AND INFECTIOUS DISEASES. IN PARTNERSHIP WITH THE US NATIONAL PARK SERVICE AND THE CAPE COD NATIONAL SEASHORE, CAPE COD HEALTHCARE LAUNCHED HEALTHY PARKS, HEALTHY PEOPLE, A WALKING PROGRAM TO PROMOTE HEALTH AND WELLNESS FOR YEAR-ROUND AND SEASONAL RESIDENTS, AS WELL AS VISITORS TO THE CAPE. TWO LOCAL COMMUNITY HEALTH CENTERS, THE COMMUNITY HEALTH CENTER OF CAPE COD AND OUTER CAPE HEALTH SERVICES, RECEIVED COMMUNITY BENEFITS FUNDING TO EXPAND THEIR COMPLEX CARE MANAGEMENT PROGRAMS FOCUSED ON IMPROVING CARE FOR HIGH-RISK RESIDENTS WITH CHRONIC DISEASES. THE AIDS SUPPORT GROUP OF CAPE COD WAS ABLE TO CONTINUE A MOBILE HEPATITIS C AND HIV/AIDS TESTING PROGRAM IN THE COMMUNITY WITH COMMUNITY BENEFITS SUPPORT. THE CAPE COD HUNGER NETWORK UTILIZED A COMMUNITY BENEFITS GRANT TO LAUNCH A NEW PROGRAM FOR PANTRY CLIENTS TO HELP MONITOR THEIR DIABETES AND HEART DISEASE AND ENCOURAGE NUTRITIONAL IMPROVEMENT THROUGH EDUCATION AND DISTRIBUTION OF FRESH FOOD AND VEGETABLES. THE PROGRAM WILL BE EXPANDED FROM ONE FOOD PANTRY SITE IN 2015 TO FOUR PANTRY SITES AND A MOBILE FOOD PROGRAM IN 2016.
CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDED IN-HOME VISITS BY	PHARMACISTS AND CARE MANAGERS IN AN EFFORT TO SUPPORT RESIDENTS MANAGING CHRONIC DISEASE AND EDUCATE THEIR CAREGIVERS. CAREGIVERS OF INDIVIDUALS WITH ALZHEIMER'S DISEASE WERE PROVIDED FREE COUNSELING AND ACCESS TO 10 NEW COMMUNITY-BASED SUPPORT GROUPS ACROSS CAPE COD, DEVELOPED THROUGH A COMMUNITY BENEFITS GRANT. CLINICAL STAFF FROM BOTH CAPE COD HOSPITAL AND FALMOUTH HOSPITAL FACILITATED ACTIVITIES IN THE COMMUNITY RANGING FROM CANCER AND BEREAVEMENT SUPPORT GROUPS TO BREASTFEEDING AND FATHERHOOD CLASSES. COMMUNITY OUTREACH AND EDUCATION ACTIVITIES SUCH AS HEALTH FAIRS, EDUCATIONAL WORKSHOPS BY PHYSICIANS AND THE LAUNCH OF ONECAPE HEALTH NEWS, A NEW HEALTH INFORMATION NEWS HUB, PROVIDED CRITICAL INFORMATION FROM HEALTH EXPERTS ABOUT DISEASE PREVENTION, DETECTION AND MANAGEMENT TO LOCAL RESIDENTS. INDIVIDUALS AND FAMILIES SEEKING HELP NAVIGATING STATE AND FEDERAL INSURANCE PLAN OPTIONS AND ENROLLMENT/RE-ENROLLMENT WERE PROVIDED FINANCIAL ASSISTANCE AND COUNSELING IN BOTH HOSPITALS AND IN COMMUNITY SETTINGS. A COMMUNITY BENEFITS GRANT ENSURED THAT UNINSURED AND UNDER-INSURED RESIDENTS WERE PROVIDED FREE OR LOW-COST ACCESS TO A NETWORK OF SPECIALISTS IN THE REGION FOR A VARIETY OF SERVICES INCLUDING CARDIOLOGY, GENERAL SURGERY, OPTOMETRY, UROLOGY AND ORTHOPEDICS. FREE INTERPRETER SERVICES WERE PROVIDED TO RESIDENTS NEEDING LANGUAGE ASSISTANCE IN COMMUNITY-BASED PHYSICIAN OFFICES AND THE HOSPITALS PROVIDED ONLINE AND TELEPHONE-BASED ASSISTANCE TO RESIDENTS SEARCHING FOR AVAILABLE PRIMARY CARE AND SPECIALTY PROVIDERS. CAPE COD HEALTHCARE'S CENTERS FOR BEHAVIORAL HEALTH EXPANDED SERVICES TO THE LOWER CAPE REGION, INCREASED PROVIDER RECRUITMENT EFFORTS AND PILOTED A NEW MODEL OF CARE IN EMERGENCY ROOM SETTINGS TO SERVE RESIDENTS WITH MENTAL ILLNESS. GROWTH OF THE BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS WAS SUPPORTED THROUGH COMMUNITY BENEFITS FUNDING AND LEADERSHIP RESULTING IN STRONGER COLLABORATION BETWEEN BEHAVIORAL HEALTH PROVIDERS AND LAW ENFORCEMENT AGENCIES. SEVERAL COMMUNITY BENEFITS GRANTS WERE MADE TO EXPAND MENTAL HEALTH SERVICES IN THE COMMUNITY, INCLUDING A MENTAL CONSULTATION PROGRAM IN HEAD START CLASSROOMS, PSYCHIATRIC AND COUNSELING SERVICES WITHIN A COMMUNITY HEALTH CENTER, AND SPECIALIZED COUNSELING FOR VETERANS WITH POST-TRAUMATIC STRESS DISORDER AND TRAUMATIC BRAIN INJURIES. CAPE COD HEALTHCARE LED A GROUP OF LOCAL PHILANTHROPIC ORGANIZATIONS IN THE ESTABLISHMENT OF THE CAPE COD SUBSTANCE ABUSE EDUCATION AND PREVENTION INITIATIVE. THIS INITIATIVE INCREASES PRIMARY PREVENTION PROGRAMS FOR YOUTH, AND COMMUNITY BENEFITS STAFF PROVIDED LEADERSHIP TO SUBSTANCE ABUSE EFFORTS TAKING PLACE ACROSS THE REGION. GRANTS WERE PROVIDED TO EXPAND LIFE SKILLS TRAININGS IN SCHOOLS, AFTER-SCHOOL PROGRAMS FOR HIGH-RISK YOUTH AND TOWN-BASED COALITION EFFORTS. OVER 120 CLINICAL PROFESSIONALS PARTICIPATED IN SAFE OPIOID PRESCRIBING TRAININGS THROUGH A PARTNERSHIP WITH BOSTON UNIVERSITY SCHOOL OF MEDICINE AND CAPE COD HEALTHCARE WAS SELECTED BY THE MA DEPARTMENT OF PUBLIC HEALTH TO DEVELOP AN INTEGRATED MODEL OF BEHAVIORAL HEALTH AND SPECIALTY CARE THROUGH THE MOMS DO CARE GRANT PROJECT. IN ADDITION TO HOSPITAL-BASED PROGRAMS AND GRANT FUNDED COMMUNITY-BASED PROJECTS, COMMUNITY BENEFITS AND HOSPITAL STAFF CONTINUED TO PLAY LEADERSHIP ROLES IN HEALTH AND HUMAN SERVICE ORGANIZATIONS AND COALITIONS ACROSS BARNSTABLE COUNTY INCLUDING CAPE COD COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS AND THE SUBSTANCE ABUSE IN PREGNANCY TASK FORCE.
PLANS FOR NEXT REPORTING YEAR	ANNUAL COMMUNITY BENEFITS PLANNING FOR CAPE COD HOSPITAL, FALMOUTH HOSPITAL AND CAPE COD HEALTHCARE ALIGN DIRECTLY WITH THE PRIORITIES, GOALS AND OBJECTIVES OF THE THREE-YEAR IMPLEMENTATION PLAN INCLUDED IN THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. THE ELEVEN-MEMBER COMMUNITY HEALTH COMMITTEE, A SUBCOMMITTEE OF THE BOARD OF TRUSTEES OF CAPE COD HEALTHCARE, PROVIDES OVERSIGHT AND INPUT TO ANNUAL PLANNING AND IMPLEMENTATION OF KEY INITIATIVES. COMMUNITY BENEFITS STAFF ENSURES THAT ANNUAL PLANS, PRIORITIES, GOALS AND ACTIVITIES COMPLY WITH MASSACHUSETTS ATTORNEY GENERAL (AG) GUIDELINES, MEDICARE GUIDELINES AND IRS REQUIREMENTS. COMMUNITY BENEFITS GOALS FOR FY2016: 1. CHRONIC AND INFECTIOUS DISEASE: INVEST IN INITIATIVES, CLINICAL PROGRAMMING, AND COMMUNITY EDUCATION AND OUTREACH AIMED AT THE MANAGEMENT AND PREVENTION OF CHRONIC AND INFECTIOUS DISEASE. 2. ACCESS TO CARE: IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR CAPE COD'S UNDERSERVED AND VULNERABLE POPULATIONS THROUGH PARTNERSHIPS AND SUPPORT OF COMMUNITY HEALTH CENTERS, INTERPRETER SERVICES, AND HEALTH CARE ENROLLMENT EFFORTS. 3. MENTAL HEALTH: PROMOTE EDUCATION, COORDINATION, AND NAVIGATION OF SERVICES TARGETED AT INDIVIDUALS AND FAMILIES FACING MENTAL HEALTH ISSUES. 4. SUBSTANCE ABUSE: ENGAGE IN COLLABORATIVE EFFORTS TO SUPPORT COMMUNITY-BASED SUBSTANCE ABUSE PREVENTION AND EDUCATION EFFORTS. 5. YOUTH AND SENIOR HEALTH: SUPPORT INNOVATIVE AND PREVENTATIVE HEALTH INITIATIVES FOR THE COMMUNITY WITH A SPECIFIC FOCUS ON YOUTH AGES 15-24 YEARS OLD AND SENIORS OVER THE AGE OF 65. 6. SUPPORT REGIONAL HEALTH EFFORTS THROUGH DIRECT GRANT FUNDING AND A COMPETITIVE RFP GRANTS PROGRAM OPEN TO ALL COMMUNITY ORGANIZATIONS WITH PROGRAMS ALIGNED WITH COMMUNITY BENEFITS PRIORITIES. 7. MAINTAIN AND DEVELOP COMMUNITY LEADERSHIP OPPORTUNITIES TO IMPROVE THE HEALTH STATUS OF THE RESIDENTS OF BARNSTABLE COUNTY INCLUDING PARTICIPATION WITH THE COMMUNITY HEALTH AREA NETWORK (CHNA 27) STEERING COMMITTEE, BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS, THE BARNSTABLE COUNTY HUMAN SERVICES ADVISORY COUNCIL, AND THE BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL. 8. ENGAGE BARNSTABLE COUNTY RESIDENTS, PUBLIC HEALTH EXPERTS, AND COMMUNITY LEADERS REPRESENTING MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS IN THE COLLECTION OF HEALTH INDICATOR DATA AND COMMUNITY INPUT FOR THE 2017- 2020 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT. COMMUNITY BENEFITS LEADERSHIP/TEAM CAPE COD HEALTHCARE, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL, ALONG WITH OUR AFFILIATES, COLLABORATE TO BE THE HEALTH SERVICE PROVIDER OF CHOICE FOR BARNSTABLE COUNTY RESIDENTS BY ACHIEVING AND MAINTAINING THE HIGHEST STANDARDS IN HEALTHCARE DELIVERY AND SERVICE QUALITY. TO DO SO, WE PARTNER WITH OTHER HEALTH AND HUMAN SERVICE PROVIDERS AS WELL AS INVEST IN NEEDED MEDICAL TECHNOLOGIES, HUMAN RESOURCES AND CLINICAL SERVICES. ABOVE ALL, WE WILL HELP IDENTIFY AND RESPOND TO THE NEEDS OF OUR COMMUNITY. WE ARE THE COMMUNITY HEALTH SYSTEM AND SAFETY NET HEALTH CARE PROVIDER FOR RESIDENT OF BARNSTABLE COUNTY. THE DEVELOPMENT OF CAPE COD HEALTHCARE'S STRATEGIC INITIATIVES AND COMMUNITY COLLABORATIONS, INCLUDING THE COMMUNITY BENEFITS PROGRAM, IS LED BY MICHAEL K. LAUF, CHIEF EXECUTIVE OFFICER AND THERESA M. AHERN, SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS. MANAGEMENT OF THE PROGRAM IS THE RESPONSIBILITY OF LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS. THE COMMUNITY HEALTH COMMITTEE PROVIDES STRATEGIC OVERSIGHT TO THE COMMUNITY BENEFITS PROGRAM AS A DESIGNATED SUBCOMMITTEE OF THE BOARD OF TRUSTEES. THE COMMITTEE IS COMPRISED OF MEMBERS AND LEADERS OF PUBLIC HEALTH ORGANIZATIONS, COMMUNITY-BASED ORGANIZATIONS, COMMUNITY ADVOCACY GROUPS AND COUNTY GOVERNMENT, AS WELL AS TWO CURRENT MEMBERS OF THE CCHC BOARD OF TRUSTEES. THE COMMITTEE DEVELOPS AND RECOMMENDS POLICIES TO THE CAPE COD HEALTHCARE BOARD OF TRUSTEES REGARDING COMMUNITY BENEFITS PROGRAMS, SETS PRIORITIES, AWARDS PRIORITY GRANT FUNDING, AND ADVISES ON COMMUNITY HEALTH ISSUES AND INITIATIVES.
FY 15 COMMUNITY HEALTH COMMITTEE MEMBERS:	ELEANOR CLAUS (CHAIR) CCHC BOARD MEMBER KINLIN GROVER REAL ESTATE 927 ROUTE 6A, YARMOUTHPORT, MA 02675 508.362.3000 X203 ECLAUS@KINLINGROVER.COM REPRESENTING: CCHC BOARD OF TRUSTEES ELIZABETH ALBERT DIRECTOR BARNSTABLE COUNTY HUMAN SERVICES P.O. BOX 427, BARNSTABLE, MA 02630 508.375.6626 BALBERT@BARNSTABLECOUNTY.ORG REPRESENTING: COMMUNITY AT LARGE & COUNTY DEPARTMENTS KAREN CARDEIRA DIRECTOR FALMOUTH HUMAN SERVICES 65 TOWN HALL SQUARE, FALMOUTH, MA 02540 508.548.0533 KCARDEIRA@FALMOUTHHUMANSERVICES.ORG REPRESENTING: COMMUNITY AT LARGE & UPPER CAPE MARY DEVLIN PUBLIC HEALTH AND WELLNESS DIVISION MANAGER VISITING NURSE ASSOCIATION OF CAPE COD 255 INDEPENDENCE DRIVE, HYANNIS, MA 02601 508.957.7619 MDEVLIN@VNACAPECOD.ORG REPRESENTING: PROVINCETOWN TO PLYMOUTH WITH EMPHASIS ON CHRONIC DISEASE AND HEALTHY AGING OF THE SENIOR POPULATION KAREN GARDNER CHIEF EXECUTIVE OFFICER COMMUNITY HEALTH CENTER OF CAPE COD 107 COMMERCIAL ST., MASHPEE, MA 02649 508.477.7090 KGARDNER@CHCOFCAPECOD.ORG REPRESENTING: COMMUNITY HEALTH CENTER NETWORK & UPPER CAPE SUZANNE FAY GLYNN, ESQ. CCHC BOARD MEMBER GLYNN LAW OFFICES 49 LOCUST STREET, FALMOUTH, MA 02540 508.548.8282 LJARVIS@GLYNNLAWOFFICES.COM REPRESENTING: CCHC BOARD OF TRUSTEES RON HOLMES CO-CHAIR BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS AND THE CAPE & ISLANDS SUICIDE PREVENTION COALITION 39 WADING PLACE PATH CHATHAM, MA 02663 508.726.3931 RON.HOLMES@VERIZON.COM REPRESENTING: REGIONAL BEHAVIORAL HEALTH PROVIDERS AND INITIATIVES HADLEY LUDDY EXECUTIVE DIRECTOR BIG BROTHER BIG SISTERS 1934 FALMOUTH ROAD, CENTERVILLE, MA 02601 508-775-5150 HLUDDY@BBBSCCI.ORG REPRESENTING: YOUTH AND YOUNG ADULTS CHRIS HOTTLE DIRECTOR PROVINCETOWN COUNCIL ON AGING 26 ALDEN STREET, PROVINCETOWN, MA 02657 508-487-7080 CHOTTLE@PROVINCETOWN-MA.GOV REPRESENTING: SENIOR POPULATIONS & OUTER CAPE CAPE COD HEALTHCARE MEMBER: THERESA M. AHERN SENIOR VICE PRESIDENT, STRATEGY AND GOVERNMENTAL AFFAIRS CAPE COD HEALTHCARE 88 LEWIS BAY ROAD HYANNIS, MA 02601 508-862-5077 TAHERN@CAPECODHEALTH.ORG
COMMUNITY BENEFITS TEAM MEETINGS	THE FY2015 COMMUNITY HEALTH COMMITTEE MEETINGS WERE HELD ON THE FOLLOWING DATES: NOVEMBER 13, 2014 9:00 - 11:00 AM MARCH 19, 2015 4:00-5:30 PM JUNE 18, 2015 4:00-5:30 PM AUGUST 20, 2015 4:00-5:00 PM COMMUNITY PARTNERS AIDS SUPPORT GROUP OF CAPE COD ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER AMERICAN CANCER SOCIETY BARNSTABLE COUNTY CAPE COD COOPERATIVE EXTENSION SERVICES BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL BARNSTABLE SCHOOL SYSTEM BEHAVIORAL HEALTH PROVIDER COALITION OF CAPE COD & THE ISLANDS BIG BROTHERS BIG SISTERS OF CAPE COD & THE ISLANDS BOYS & GIRLS CLUB OF CAPE COD CALMER CHOICE CAPE & ISLANDS EMS SYSTEMS, INC CAPE & ISLANDS UNITED WAY CAPE & ISLANDS VETERANS OUTREACH CENTER CAPE & ISLANDS YOUTH COUNCIL LEADERSHIP ACADEMY CAPE COD CHAMBER OF COMMERCE CAPE COD CHILD DEVELOPMENT CAPE COD FOUNDATION CAPE COD HUNGER NETWORK CHILDREN'S COVE COALITION FOR CHILDREN COMMUNITY ACTION COMMITTEE OF CAPE COD & ISLANDS COMMUNITY DEVELOPMENT PARTNERSHIP COMMUNITY HEALTH CENTER OF CAPE COD COMMUNITY HEALTH NETWORK AREA 27 CAPE COD & ISLANDS (CHNA 27) DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD & THE ISLANDS FALMOUTH BIKE LAB FAMILY PANTRY OF CAPE COD HARBOR COMMUNITY HEALTH CENTER - HYANNIS HELPING OUR WOMEN HOPE DEMENTIA & ALZHEIMER'S SERVICES GOSNOLD ON CAPE COD MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH MASSACHUSETTS ORGANIZATION FOR ADDICTION RECOVERY MOTHERS AND INFANTS RECOVERY NETWORK NATIONAL ALLIANCE ON MENTAL ILLNESS CAPE COD OUTER CAPE HEALTH SERVICES PARKINSON SUPPORT NETWORK OF CAPE COD SHEA'S YOUTH BASKETBALL ASSOCIATION SIGHT LOSS SERVICES SPECIALTY NETWORK FOR THE UNINSURED UNITED STATES NATIONAL PARK SERVICE AND CAPE COD NATIONAL SEASHORE WE CAN
COMMUNITY HEALTH NEEDS ASSESSMENT	DATE LAST ASSESSMENT COMPLETED AND CURRENT STATUS THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT (CHNA REPORT) AND IMPLEMENTATION PLAN WAS RELEASED AND MADE WIDELY AVAILABLE TO THE PUBLIC ON SEPTEMBER 27, 2013. OUR OBJECTIVES FOR COMMUNITY HEALTH NEEDS ASSESSMENT PROJECTS ARE TO GATHER STATISTICALLY VALID INFORMATION AND ACCURATE COMPARISONS TO STATE AND NATIONAL BENCHMARKS OF HEALTH AND QUALITY OF LIFE MEASURES FOR RESIDENTS OF BARNSTABLE COUNTY AND TO INTEGRATE RESEARCH FINDINGS INTO COMMUNITY BENEFIT AND HOSPITAL PLANNING ACTIVITIES THAT ADDRESS SIGNIFICANT COMMUNITY NEEDS AND VULNERABLE POPULATIONS. FOR THE 2014 - 2016 CHNA REPORT, OVER 80 PUBLIC HEALTH EXPERTS AND COMMUNITY ORGANIZATIONS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND VULNERABLE POPULATIONS PROVIDED INPUT ON REGIONAL HEALTH ISSUES THROUGH FOCUS GROUPS, KEY INFORMATION INTERVIEWS AND COMMUNITY INPUT FORUMS. ADDITIONAL DATA WAS COLLECTED THROUGH A HOUSEHOLD TELEPHONE SURVEY OF RESIDENTS OF BARNSTABLE COUNTY USING A SURVEY INSTRUMENT ADAPTED FROM THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. THE PRIMARY DATA COLLECTED THROUGH COMMUNITY INPUT AND THE HOUSEHOLD TELEPHONE SURVEY WAS HEAVILY AUGMENTED WITH SECONDARY DATA FROM NATIONAL, STATE, AND REGIONAL SOURCES WHICH INCLUDED DEMOGRAPHIC CHARACTERISTICS, DISEASE INCIDENCE AND PREVALENCE RATES, HEALTH STATUS INDICATORS, BEHAVIORAL RISK FACTORS ASSOCIATED WITH HEALTH STATUS, ACCESS TO CARE, MORBIDITY/MORTALITY RATES AND HOSPITAL UTILIZATION. THROUGH THIS COLLECTION OF DATA AND COMMUNITY INPUT THE SIGNIFICANT HEALTH NEEDS OF BARNSTABLE COUNTY RESIDENTS WERE DISTINGUISHED AND PRIORITIZED BASED ON THE FREQUENCY, URGENCY, SCOPE, SEVERITY AND MAGNITUDE OF THE IDENTIFIED ISSUES. THE SIGNIFICANT HEALTH NEEDS AND ASSOCIATED TARGET AND VULNERABLE POPULATIONS INDENTIFIED THROUGH THE CHNA REPORT HAVE SERVED AS THE FOUNDATION FOR COMMUNITY BENEFITS AND HOSPITAL PLANNING AND PROGRAM IMPLEMENTATION SPANNING FISCAL YEARS 2014 - 2016. IN SEPTEMBER 2015, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL LAUNCHED THE OMMUNITY HEALTH NEEDS ASSESSMENT PROJECT WHICH WILL SERVE AS THE COMMUNITY BENEFITS AND HOSPITAL PLANNING FOUNDATION FOR FY2017 - FY2020. KEY PHASES OF THE PROJECT INCLUDING SECONDARY DATA COLLECTION, COMMUNITY INPUT FORUMS FOR RESIDENTS AND SERVICE PROVIDERS OF VULNERABLE POPULATIONS AND KEY INFORMATIONAL INTERVIEWS OF PUBLIC HEALTH EXPERTS HAVE BEEN COMPLETED AS OF MARCH 2015. THE 2017 - 2020 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION PLAN WILL BE RELEASED BY SEPTEMBER 30, 2016. CONSULTANTS/OTHER ORGANIZATIONS THE FOLLOWING ORGANIZATIONS PARTICIPATED IN THE 2014 - 2016 CAPE COD HOSPITAL AND FALMOUTH HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROJECT:
AIDS SUPPORT GROUP OF CAPE COD	AMERICAN CANCER SOCIETY BARNSTABLE COUNTY HUMAN RIGHTS COMMISSION BARNSTABLE COUNTY HUMAN SERVICES BARNSTABLE COUNTY PUBLIC HEALTH NURSE BARNSTABLE SCHOOL SYSTEM BIG BROTHERS BIG SISTERS OF CAPE COD AND THE ISLANDS BOURNE COUNCIL ON AGING BOYS & GIRLS CLUB OF CAPE COD CAPE & ISLANDS EMERGENCY MEDICAL SERVICES SYSTEM CAPE & ISLANDS UNITED WAY CAPE AND ISLANDS SUICIDE PREVENTION COALITION CAPE COD CENTER FOR WOMEN CAPE COD COMMUNITY COLLEGE CAPE COD COUNCIL OF CHURCHES CAPE DISABILITY NETWORK CAPE COD DISTRICT ATTORNEY'S OFFICE CAPE COD FOUNDATION CAPE COD HEALTHCARE DIABETES CENTER CAPE COD HEALTHCARE INFECTIOUS DISEASE SERVICES CAPE COD HEALTHCARE REGIONAL CANCER NETWORK CAPE COD HEALTHY FAMILIES CAPE COD IMMIGRANT CENTER CAPE COD JUSTICE FOR YOUTH COLLABORATIVE CAPE COD JUSTICE FOR YOUTH BOARD CAPE COD MEDICAL RESERVE CORPS CAPE COD NEIGHBORHOOD SUPPORT COALITION CAPE COD WIC CAPE& ISLANDS GAY STRAIGHT YOUTH ALLIANCE CCH PATIENT AND FAMILY ADVISORY COMMITTEE CHAMP HOMES CHILD AND FAMILY SERVICES CHILDREN'S STUDY HOME COAST (COA'S SERVING TOGETHER) COMMUNITY HEALTH CENTER OF CAPE COD COUNTY NETWORK OF CAPE COD DUFFY HEALTH CENTER ELDER SERVICES OF CAPE COD AND THE ISLANDS EMERALD PHYSICIANS FALMOUTH HOUSING AUTHORITY FALMOUTH HUMAN SERVICES FALMOUTH POLICE DEPARTMENT FALMOUTH PREVENTION PARTNERSHIP FALMOUTH SERVICE CENTER FREEDOM FROM ADDICTION NETWORK GOSNOLD ON CAPE COD HEALTH IMPERATIVES HEALTH IMPERATIVES - HYANNIS FAMILY PLANNING HELPING OUR WOMEN HOPE DEMENTIA AND ALZHEIMER'S SERVICES OF CAPE COD HOPE HEALTH HYANNIS YOUTH AND COMMUNITY CENTER KENNEDY DONOVAN CENTER LOWER CAPE OUTREACH COUNCIL LYME AWARENESS OF CAPE COD MA DEPARTMENT OF MENTAL HEALTH - CAPE COD MASHPEE COUNCIL ON AGING MASHPEE HOUSING AUTHORITY MATERNAL DEPRESSION TASK FORCE NATIONAL MULTIPLE SCLEROSIS SOCIETY ORAL HEALTH EXCELLENCE COLLABORATIVE PARISH NURSE MINISTRIES OF CAPE COD PROVINCETOWN COUNCIL ON AGING REACHING ELDERS WITH ADDITIONAL COMMUNITY HELP (REACH) SAMARITANS ON CAPE COD AND ISLANDS SANDWICH COUNCIL ON AGING SANDWICH HOUSING AUTHORITY SERVING THE HEALTH INFORMATION NEEDS OF OTHERS (SHINE) SOUTH BAY MENTAL HEALTH SPECIALTY NETWORK FOR THE UNINSURED ST. JOHN'S EPISCOPAL PROJECT TRURO COUNCIL ON AGING VETERANS OUTREACH COUNCIL VISITING NURSE ASSOCIATION OF CAPE COD WOMEN AND ADOLESCENT HEALTH AT COMMUNITY HEALTH CENTER OF CAPE COD YMCA OF CAPE COD YOUTH SUICIDE PREVENTION PROJECT
DATA SOURCES	COMMUNITY FOCUS GROUPS, HOSPITAL, CONSUMER GROUP, INTERVIEWS, MASSCHIP, PUBLIC HEALTH PERSONNEL, SURVEYS, CHNA COMMUNITY BENEFITS PROGRAMS INTERPRETER SERVICES FOR COMMUNITY-BASED PHYSICIAN OFFICES PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: COMMUNITY BENEFITS PROVIDES ANNUAL SUPPORT TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE FOR INDIVIDUALS WHO FACE BARRIERS TO CARE DUE TO LANGUAGE THROUGH THE COMMUNITY BASED INTERPRETER SERVICES PROGRAM. THE PROGRAM DISPATCHES FREE MEDICAL LANGUAGE INTERPRETERS TO COMMUNITY-BASED PHYSICIAN PRACTICES TO ASSIST LIMITED AND NON-ENGLISH SPEAKING PATIENTS AND THEIR FAMILIES. THE AVAILABILITY OF PROFICIENT AND PROFESSIONAL INTERPRETER SERVICES ENSURES THE DELIVERY OF SAFE, QUALITY HEALTH CARE AND POSITIVE CLINICAL OUTCOMES. TARGET POPULATION: REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: LANGUAGE/LITERACY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO CARE BY PROVIDING MEDICAL LANGUAGE INTERPRETATIONS IN COMMUNITY-BASED PRIMARY CARE AND SPECIALTY SETTINGS. GOAL STATUS: COLLABORATION WITH COMMUNITY HEALTH CENTERS AND PHYSICIAN OFFICES RESULTED IN 925 LANGUAGE INTERPRETATIONS IN FY15. APPROXIMATELY, 84 % OF REQUESTED INTERPRETATIONS WERE FOR RESIDENTS SPEAKING PORTUGUESE AND 16% FOR RESIDENTS SPEAKING SPANISH. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY-BASED MEDICAL OFFICES ON CAPE COD: VARIOUS HARBOR COMMUNITY HEALTH CENTER-HYANNIS: HTTP://WWW.HHSI.US/CAPE-COD/HARBOR-COMMUNITY-HEALTH-CENTER-HYANNIS/ COMMUNITY HEALTH CENTER OF CAPE COD: WWW.CHCOFCAPECOD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED SPECIALITY NETWORK FOR THE UNINSURED: HARBOR COMMUNITY HEALTH CENTER HYANNIS PROGRAM TYPE: OUTREACH TO UNDERSERVED STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS. BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDES ANNUAL GRANT SUPPORT TO HARBOR COMMUNITY HEALTH CENTER - HYANNIS TO COORDINATE THE SPECIALTY NETWORK FOR THE UNINSURED (SNU). THE SNU PROGRAM INCREASES ACCESS TO SPECIALTY CARE FOR UNINSURED AND UNDER-INSURED RESIDENTS OF BARNSTABLE COUNTY THROUGH MANAGING A NETWORK OF MEDICAL SPECIALISTS WHO WILL PROVIDE FREE OR SIGNIFICANTLY REDUCED SLIDING-SCALE FEES FOR OFFICE VISITS, PROCEDURES AND CONTINUED CARE OF UNINSURED AND UNDER-INSURED INDIVIDUALS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: ARTHRITIS, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN, OTHER: DIABETES, OTHER: FAMILY PLANNING, OTHER: HEARING, OTHER: HEPATITIS, OTHER: HYPERTENSION, OTHER: LYME DISEASE, OTHER: OSTEOPOROSIS/MENOPAUSE, OTHER: PARKINSON'S DISEASE, OTHER: PREGNANCY, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE ACCESS TO SPECIALTY CARE FOR LOW-INCOME, UNINSURED AND UNDER-INSURED INDIVIDUALS. GOAL STATUS: THE SNU PROGRAM PROVIDED 408 PATIENT APPOINTMENTS WITH SPECIALISTS IN FY15. PROGRAM EFFORTS ARE ONGOING IN FY16 GOAL DESCRIPTION: PROVIDE ACCESS TO SPECIALISTS FOR UNINSURED OR UNDER-INSURED RESIDENTS WHO FACE LANGUAGE BARRIERS TO CARE. GOAL STATUS: TWENTY-SEVEN PERCENT (27%) OF SNU PATIENTS REQUESTED A MEDICAL INTERPRETER. NINETY-FOUR PERCENT (94%) OF THOSE PATIENTS REQUIRED INTERPRETATION FOR PORTUGUESE AND 6% REQUIRED INTERPRETATION FOR SPANISH. GOAL DESCRIPTION: MAINTAIN REFERRAL RELATIONSHIP BETWEEN SNU PROGRAM AND FEDERALLY QUALIFIED HEALTH CENTERS IN THE REGION. GOAL STATUS: NEARLY ONE HUNDRED PERCENT (99.75%) OF ALL PROGRAM REFERRALS WERE MADE BY REGIONAL FEDERALLY QUALIFIED HEALTH CENTERS INCLUDING HARBOR COMMUNITY HEALTH CENTER-HYANNIS, COMMUNITY HEALTH CENTER OF CAPE COD, DUFFY HEALTH CENTER AND ISLAND HEALTH CENTER. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: HTTP://WWW.CHCOFCAPECOD.ORG/ HARBOR COMMUNITY HEALTH CENTER- HYANNIS: WWW.HHSI.US DUFFY HEALTH CENTER: WWW.DUFFYHEALTHCENTER.ORG ISLAND HEALTH CARE: WWW.IHIMV.ORG CAPE COD HEALTHCARE: WWW.CAPECODHEALTH.ORG CONTACT INFORMATION: LISA GUYON, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
PRESCRIPTION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS FOR	CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: THE PRESCRIPTION ASSISTANCE PROGRAM IS AN INITIATIVE OF CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY, BEHAVIORAL HEALTH AND PHARMACY DEPARTMENTS AS A COMMUNITY BENEFIT TO ASSIST UNINSURED, UNDER-INSURED AND FINANCIALLY DISADVANTAGED PATIENTS WHO HAVE NO OTHER VIABLE MEANS TO PAY FOR MEDICATIONS UPON DISCHARGE FROM HOSPITAL FACILITIES. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD MEDICATIONS TO ENSURE COMPLIANCE WITH HOSPITAL DISCHARGE PLANNING. GOAL STATUS: CAPE COD AND FALMOUTH HOSPITALS EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED PHARMACY VOUCHERS AND PRESCRIPTION ASSISTANCE TOTALLY $23,800 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY CHALLENGED PATIENTS WHO WERE UNABLE TO AFFORD PRESCRIPTIONS PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS LOCAL PHARMACIES: N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED TRANSPORTATION ASSISTANCE PROGRAM FOR VULNERABLE POPULATIONS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROGRAM TYPE: DIRECT SERVICES STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO ASSIST LOW-INCOME AND VULNERABLE POPULATIONS, CAPE COD HOSPITAL AND FALMOUTH HOSPITAL PROVIDE TRANSPORTATION UPON DISCHARGE FROM EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS, TO THOSE PATIENTS WITHOUT RESOURCES FOR TRANSPORTATION. TARGET POPULATION REGIONS SAVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: UNINSURED/UNDERINSURED SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST RESIDENTS WHO ARE UNABLE TO AFFORD OR ACCESS TRANSPORTATION TO ENSURE COMPLIANCE WITH THEIR DISCHARGE PLAN GOAL STATUS: CAPE COD HOSPITAL AND FALMOUTH HOSPITAL EMERGENCY AND BEHAVIORAL HEALTH DEPARTMENTS PROVIDED TAXI VOUCHERS TOTALING MORE THAN $37,000 FOR UNINSURED, UNDER-INSURED OR FINANCIALLY DISADVANTAGED PATIENTS UPON DISCHARGE
PARTNERS	PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS LOCAL TAXI COMPANIES: N/A CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA, 02601 PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED DUFFY HEALTH CENTER: SUPPORTING BEHAVIORAL HEALTH SERVICES FOR HOMELESS AND AT RISK ADULTS PROGRAM TYPE: SCHOOL/HEALTH CENTER PARTNERSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: THE DUFFY HEALTH CENTER PROVIDES PRIMARY CARE AND BEHAVIORAL HEALTH CARE TO HOMELESS ADULTS AND THOSE AT-RISK FOR HOMELESSNESS IN BARNSTABLE COUNTY. IN FY15, COMMUNITY BENEFITS FUNDING FROM CAPE COD HEALTHCARE SUPPORTED THE DUFFY HEALTH CENTERS BEHAVIORAL HEALTH SERVICES INCLUDING THERAPY, PSYCHIATRY AND CASE MANAGEMENT SUPPORT FOR HEALTH CENTER PATIENTS. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: HOMELESSNESS, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: TO PROVIDE BEHAVIORAL HEALTH SERVICES TO 1,200 PATIENTS. GOAL STATUS: BEHAVIORAL HEALTH SERVICES WERE PROVIDED TO 1,069 DUFFY HEALTH CENTER PATIENTS THROUGH 7,586 VISITS. GOAL DESCRIPTION: DUFFY HEALTH CENTER WILL PROVIDE PSYCHIATRIC SERVICES, PRIMARILY MEDICATION PRESCRIBING AND MONITORING, TO APPROXIMATELY 300 PATIENTS. GOAL STATUS PSYCHIATRIC SERVICES, INCLUDING MEDICATION PRESCRIBING AND MONITORING, WERE PROVIDED TO 247 PATIENTS. GOAL DESCRIPTION: 100% OF ALL NEW DUFFY HEALTH CENTER PATIENTS WILL BE SCREENED FOR BEHAVIORAL HEALTH NEEDS. GOAL STATUS: APPROXIMATELY 71.2% OF NEW PATIENTS WERE SCREENED AND 50% OF ESTABLISHED PATIENTS WERE SCREENED DURING VISITS IN FY15. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS VETERANS AFFAIRS: VARIOUS THE DUFFY HEALTH CENTER : WWW.DUFFYHEALTHCENTER.ORG HOUSING ASSISTANCE CORPORATION: WWW. HACONCAPECOD.ORG CAPE COD COMMUNITY COLLEGE: WWW.CAPECOD.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORT GROUPS AND HEALTH EDUCATION CLASSES AT CAPE COD HOSPITAL AND	FALMOUTH HOSPITAL PROGRAM TYPE: SUPPORT GROUP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: AT CAPE COD AND FALMOUTH HOSPITAL, SUPPORT GROUPS FOR BEREAVEMENT AND CANCER SURVIVORSHIP, CLASSES AND COUNSELING FOCUSED ON BREASTFEEDING AND FATHERHOOD AND HOLISTIC SERVICES TO COMPLEMENT TRADITIONAL MEDICAL CARE ARE CONDUCTED ON A REGULAR BASIS AND OPEN TO ALL MEMBERS OF THE COMMUNITY. CLASSES AND GROUPS ARE AVAILABLE TO INDIVIDUALS, FAMILIES AND CAREGIVERS INCLUDE IN-PERSON MEETINGS AND CONTACTS TO OFFER SUPPORT AND REASSURANCE THROUGH THEIR SPECIFIC DISEASE/HEALTH CARE SITUATION. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: OTHER: ARTHRITIS, OTHER: BEREAVEMENT, OTHER: CANCER, OTHER: CHILD CARE, OTHER: CHRONIC PAIN, OTHER: DIABETES, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: PARENTING SKILLS, OTHER: PREGNANCY, OTHER: STRESS MANAGEMENT SEX: ALL AGE GROUP: ADULT, ADULT-ELDER, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: PROVIDE SUPPORT GROUPS AND EDUCATIONAL ACTIVITIES FOR PATIENTS, FAMILIES AND CAREGIVERS ON A CONTINUUM OF ISSUES INCLUDING CANCER SURVIVORSHIP, PRENATAL/NEW MOTHERS AND FATHERS GROUPS, BEREAVEMENT AND CHRONIC DISEASE SELF MANAGEMENT. GOAL STATUS: IN FY15, OVER 3,200 HOURS OF SUPPORT GROUPS AND CLASSES WERE OFFERED AND FACILITATED FOR INDIVIDUALS AND FAMILIES. INFORMATION AND RESOURCES WERE INCLUDED TO ASSIST THEM WITH THEIR SPECIFIC DISEASE OR HEALTH RELATED CIRCUMSTANCE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS VISITING NURSES ASSOCIATION HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ VISITING NURSES ASSOCIATION: HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ VISITING NURSES ASSOCIATION: HTTP://WWW.VNACAPECOD.ORG AMERICAN CANCER SOCIETY: WWW.CANCER.ORG YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED WORKFORCE AND CAREER DEVELOPMENT INITIATIVES: CAPE COD HEALTHCARE PROGRAM TYPE: MENTORSHIP/CAREER TRAINING/INTERNSHIP
STATEWIDE PRIORITY: REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE	REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE RECOGNIZES THE IMPORTANCE OF WORKFORCE DEVELOPMENT AND SUPPORTS THE OPPORTUNITY FOR STUDENTS FROM HIGH SCHOOL THROUGH GRADUATE SCHOOL TO HAVE A POSITIVE AND PROFESSIONAL EXPERIENCE THROUGH INTERNSHIPS, JOB SHADOWING AND TRAINING WITH HEALTH CARE PROVIDERS IN SEVERAL HOSPITAL DEPARTMENTS. BY TRAINING AND MENTORING STUDENTS FOR FUTURE EMPLOYMENT, WE HOPE TO SUCCESSFULLY ENGAGE INDIVIDUALS SO THEY SELECT HEALTH CARE AS A VIABLE AND ADMIRABLE VOCATION, THUS DECREASING THE POTENTIAL RISK FOR PREDICTED FUTURE SHORTAGES IN THE WORKPLACE. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: INCREASE THE SUPPLY OF QUALIFIED HEALTH PROFESSIONALS THROUGH OFFERING WORKFORCE AND CAREER DEVELOPMENT PARTNERSHIPS. GOAL STATUS: IN FY15, OVER 14,600 HOURS OF WORKFORCE AND CAREER DEVELOPMENT EFFORTS TOOK PLACE INCLUDING STUDENT TRAINING, MENTORING, AND JOB SHADOWING. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CAPE COD COMMUNITY COLLEGE: WWW.CAPECOD.EDU/ UPPER CAPE REGIONAL TECHNICAL SCHOOL: WWW.UPPERCAPETECH.COM/ CAPE COD REGIONAL TECHNICAL HIGH SCHOOL: HTTP://WWW.CAPETECH.US/ MA COLLEGE OF PHARMACY AND HEALTH SCIENCES: WWW.MCPHS.EDU UMASS DARTMOUTH: WWW.UMASSD.EDU BARNSTABLE HIGH SCHOOL: WWW.BARNSTABLE.K12.MA.US ENDICOTT COLLEGE: WWW.ENDICOTT.EDU QUINCY COLLEGE: WWW.QUINCYCOLLEGE.EDU BRISTOL COMMUNITY COLLEGE: WWW.BRISTOL.MASS.EDU CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
SUPPORTING COMPLEX CARE MANAGEMENT INITIATIVES AT THE COMMUNITY HEALTH	CENTER OF CAPE COD PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED COMMUNITY BENEFITS FUNDING TO THE COMMUNITY HEALTH CENTER OF CAPE COD (CHCCC) TO SUPPORT EXPANSION OF SCREENING AND CARE COORDINATION FOR HIGH RISK PATIENTS WITH CHRONIC DISEASE OR BEHAVIORAL HEALTH NEEDS AND PROVIDE REFERRALS TO COMMUNITY-BASED WELLNESS PROGRAMS. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: ASTHMA/ALLERGIES, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: CHRONIC PAIN OTHER: CULTURAL COMPETENCY, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: HOMELESSNESS, OTHER: HYPERTENSION, OTHER: NUTRITION, OTHER: SAFETY, OTHER: SMOKING/TOBACCO, OTHER: STRESS MANAGEMENT, OTHER: STROKE, OTHER: UNINSURED/UNDERINSURED, OTHER: VISION, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: CONNECT 1,000 PATIENTS TO THE COMPLEX CARE MANAGEMENT PROGRAM GOAL STATUS: APPROXIMATELY, 700 PATIENTS WERE CONNECTED TO THE COMPLEX CARE MANAGEMENT TEAM IN FY15. THE COMPLEX CARE MANAGEMENT REACHED OUT TO THOSE PATIENTS OVER 2,500 TIMES UTILIZING TELEPHONIC AND WEB-BASED TOOLS. GOAL DESCRIPTION: ENROLL 100 PATIENTS IN CHRONIC DISEASE SELF MANAGEMENT ACTIVITIES. GOAL STATUS: OVER 85 PATIENTS WERE ENROLLED IN CHRONIC DISEASE SELF MANAGEMENT PROGRAMS FOCUSED ON DIABETES, HYPERTENSION, AND RISK OF FALLS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS COMMUNITY HEALTH CENTER OF CAPE COD: HTTP://WWW.CHCOFCAPECOD.ORG/ YMCA CAPE COD: WWW.YMCACAPECOD.ORG HEALTHY LIVING CAPE COD: WWW.HEALTHYLIVINGCAPECOD.ORG BARNSTABLE COUNTY HUMAN SERVICES: WWW.BCHUMANSERVICES.NET CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED INTEGRATING BEHAVIORAL HEALTH SERVICES WITH COMPLEX CARE MANAGEMENT AT OUTER CAPE HEALTH SERVICES PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY, SUPPORTING HEALTHCARE REFORM BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COMMUNITY BENEFITS PROVIDED GRANT SUPPORT TO OUTER CAPE HEALTH SERVICES FOR THE EXPANSION OF COMPLEX CARE MANAGEMENT SERVICES AND INTEGRATION OF BEHAVIORAL HEALTH COUNSELING FOR HIGH-RISK PATIENTS ON THE LOWER AND OUTER CAPE. THE PROGRAM FEATURES IN-HOME VISITS FOR PATIENTS WHO ARE GEOGRAPHICALLY AND SOCIALLY ISOLATED, IMMOBILE OR WOULD OTHERWISE RELY UPON EMERGENCY MEDICAL SERVICE PROVIDERS EVEN FOR NON-URGENT CARE. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE
HEALTH INDICATOR: ACCESS TO HEALTH CARE, MENTAL HEALTH, OTHER:	ALCOHOL AND SUBSTANCE ABUSE, OTHER: ALZHEIMER DISEASE, OTHER: CANCER, OTHER: CARDIAC DISEASE, OTHER: DENTAL HEALTH, OTHER: DIABETES, OTHER: ELDER CARE, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HOMEBOUND, OTHER: HOSPICE, OTHER: HYPERTENSION, OTHER: PARKINSON'S DISEASE, OTHER: PULMONARY DISEASE/TUBERCULOSIS, OTHER: SAFETY, OTHER: STRESS MANAGEMENT, OTHER: UNINSURED/UNDERINSURED, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: DEFINE AND IDENTIFY A HIGH-RISK POPULATION OF PATIENTS TO BENEFIT FROM INTENSIVE CASE MANAGEMENT INCLUDING HOME VISITS. GOAL STATUS: IN FY15, 185 PATIENTS WERE IDENTIFIED AND ENROLLED IN COMPLEX CASE MANAGEMENT SERVICES INCLUDING HOME VISITS. THE MAJORITY OF ENROLLED PATIENTS ARE MANAGING CHRONIC DISEASES SUCH AS DIABETES, HEART DISEASE AND COPD. GOAL DESCRIPTION: DEVELOP A MULTI-DISCIPLINARY TEAM TO MANAGE PATIENTS ENROLLED IN COMPLEX CARE MANAGEMENT SERVICES INCLUDING THE ADDITION OF A BEHAVIORAL HEALTH CASE MANAGER. GOAL STATUS: A BEHAVIORAL HEALTH CASE MANAGER WAS ADDED TO THE CARE TEAM WHICH INCLUDED A NURSE PRACTITIONER AND NURSE CASE MANAGER. THE TEAM IMPLEMENTED SBIRT AS A STANDARD PROTOCOL DURING CARE COORDINATION VISITS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS OUTER CAPE HEALTH SERVICES WWW.OUTERCAPE.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HIV AND HEPATITIS C RAPID TESTING AND EDUCATION PROGRAM: AIDS SUPPORT GROUP OF CAPE COD PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE PROVIDED GRANT FUNDING TO THE AIDS SUPPORT GROUP OF CAPE COD TO SUPPORT A MOBILE RAPID HIV AND HEPATITIS C COUNSELING AND TESTING PROGRAM TO REACH HIGH-RISK, HARD TO REACH POPULATIONS OF BARNSTABLE COUNTY. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: OTHER: ALCOHOL AND SUBSTANCE ABUSE, OTHER: HEPATITIS, OTHER: HIV/AIDS, OTHER: HOMELESSNESS, OTHER: SEXUALLY TRANSMITTED DISEASES, OTHER: UNINSURED/UNDERINSURED, RESPONSIBLE SEXUAL BEHAVIOR, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT, ADULT-YOUNG, ALL ADULTS ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: CONDUCT RAPID HIV AND HEPATITIS C TESTING AND OUTREACH TARGETING HARD TO REACH POPULATIONS AT OUTPOST LOCATION ACROSS REGION. EACH TESTING CLIENT WILL RECEIVE A RISK ASSESSMENT AND COUNSELING; HARM REDUCTION AND RISK REDUCTION PLANNING AND APPROPRIATE HEALTH CARE REFERRALS. GOAL STATUS: FROM APRIL 2015 - DECEMBER 2015, 388 INDIVIDUALS WERE SCREENED. OF THE 382 CLIENTS SCREENED FOR HIV, 4 (1%) TESTED POSITIVE AND OF THE 302 INDIVIDUALS SCREENED FOR HEPATITIS C, 66 (22%) TESTED POSITIVE. GOAL DESCRIPTION: HIV, HEPATITIS C AND OVERDOSE PREVENTION EDUCATION SESSIONS WILL BE CONDUCTED AT BARNSTABLE COUNTY CORRECTION FACILITIES. GOAL STATUS: THIRTY EDUCATION SESSIONS WERE CONDUCTED WITH 338 INMATE ATTENDEES FROM OCTOBER 2014 - SEPTEMBER 2016. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS BARNSTABLE COUNTY CORRECTIONAL FACILITY: WWW.BSHERIFF.NET HABIT OPCO: WWW.CRCHEALTH.COM SOUTH BAY MENTAL HEALTH: WWW.SOUTHBAYMENTALHEALTH.COM GOSNOLD ON CAPE COD: WWW.GOSNOLD.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
CREATION OF FREE FAMILY AND INDIVIDUAL COUNSELING SERVICES FOR THE	DEMENTIA COMMUNITY OF CAPE COD: ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: IN AN EFFORT TO SUPPORT CAREGIVERS IN OUR REGION, A CAPE COD HEALTHCARE COMMUNITY BENEFITS GRANT WAS MADE TO ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER TO PROVIDE FREE FAMILY AND INDIVIDUAL COUNSELING AND EDUCATION FOR FAMILIES AND INDIVIDUALS SUFFERING ALZHEIMER'S DISEASE AND AGE RELATED DEMENTIA. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: MENTAL HEALTH, OTHER: ALZHEIMER DISEASE, OTHER: ELDER CARE, OTHER: HOMEBOUND SEX: ALL AGE GROUP: ADULT, ADULT-ELDER ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST 200 CAREGIVERS WITH INTAKE AND INFORMATION AND PROVIDE FREE COUNSELING TO 55 INDIVIDUALS MONTHLY. GOAL STATUS: ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER SERVED 250 PEOPLE PER MONTH THROUGH PHONE CONSULTATION AND SUPPORT GROUPS AND 70 FAMILIES RECEIVED SUPPORTIVE COUNSELING PER MONTH. GOAL DESCRIPTION: EXPAND SUPPORT GROUPS AND SERVICES TO LOWER AND OUTER CAPE COMMUNITIES. GOAL STATUS: CAREGIVER SUPPORT GROUPS WERE STARTED IN PROVINCETOWN/TRURO (2 GROUPS), WELLFLEET (2 GROUPS), EASTHAM (2 GROUPS), ORLEANS (1 GROUP), BREWSTER (2 GROUPS), CHATHAM (4 GROUPS), AND HARWICH (4 GROUPS). PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS ALZHEIMER'S FAMILY CAREGIVER SUPPORT CENTER: WWW.ALZHEIMERSCAPECOD.COM/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02668, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED FOODS TO ENCOURAGE - NUTRITION'S ROLE IN DIABETES AND HYPERTENSION TREATMENT AND PREVENTION PILOT PROGRAM: CAPE COD HUNGER NETWORK PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: ADDRESS UNMET HEALTH NEEDS OF THE UNINSURED, CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: FOODS TO ENCOURAGE IS A PILOT PROGRAM TO MONITOR AND IMPROVE DIABETES AND HYPERTENSION DISEASE OUTCOMES IN LOW TO MODERATE INCOME RESIDENTS WHO ACCESS FOOD FROM CAPE FOOD PANTRIES. TARGET POPULATION REGIONS SERVED: COUNTY- BARNSTABLE HEALTH INDICATOR: ACCESS TO HEALTH CARE, OTHER: CARDIAC DISEASE, OTHER: DIABETES, OTHER: HYPERTENSION, OTHER: NUTRITION, OVERWEIGHT AND OBESITY SEX: ALL AGE GROUP: ALL ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: APPROXIMATELY, 120-160 PEOPLE WILL BE ENROLLED IN THE WEEKLY BLOOD PRESSURE AND BLOOD GLUCOSE TESTING PROGRAM FOR 29 WEEKS. GOAL STATUS: A TOTAL OF 162 PARTICIPANTS WERE REGISTERED IN THE PROGRAM BETWEEN JANUARY 2015 AND SEPTEMBER 2015. THE MOST PREVALENT AGE DEMOGRAPHIC WAS BETWEEN 45-55 AND 65 YEARS OR OLDER. GOAL DESCRIPTION: BLOOD SUGAR AND BLOOD PRESSURE MONITORING WILL SHOW IMPROVEMENTS OVER TIME WITH INCREASED INTAKE OF FRESH FRUITS AND VEGETABLES AND NUTRITION EDUCATION. GOAL STATUS: OVER 30% OF PARTICIPANTS SHOWED IMPROVED BLOOD SUGAR LEVELS AND 20% SHOWED IMPROVEMENT IN BLOOD PRESSURE OVER TIME. FIFTY PERCENT (50%) OF THOSE PARTICIPATED IN MORE THAN 75% OF THE SCREENINGS SHOWED IMPROVED BLOOD PRESSURE. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS CC HUNGER NETWORK: WWW.CAPECODHUNGERNETWORK.ORG FALMOUTH SERVICE CENTER: WWW.FALMOUTHSERVICECENTER.ORG BARNSTABLE COUNTY HEALTH DEPARTMENT: WWW.BARNSTABLECOUNTYHEALTH.ORG/PROGRAMS-AND.../PUBLIC-HEALTH-NURSE CAPE COD COOPERATIVE EXTENSION: WWW.CAPECODEXTENSION.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
CAPE COD REGIONAL SUBSTANCE ABUSE EDUCATION AND PREVENTION INITIATIVE	PROGRAM TYPE: COMMUNITY PARTICIPATION/CAPACITY BUILDING INITIATIVE STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE HAS LED A COLLABORATIVE EFFORT TO INCREASE SUBSTANCE USE EDUCATION AND PREVENTION PROGRAMS AND ACTIVITIES FOR YOUTH ACROSS BARNSTABLE COUNTY. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: OTHER: ALCOHOL AND SUBSTANCE ABUSE, SUBSTANCE ABUSE SEX: ALL AGE GROUP: ADULT-YOUNG, ALL CHILDREN, CHILD-PRETEEN, CHILD-PRIMARY SCHOOL, CHILD-TEEN ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: ASSIST IN THE COORDINATION OF A BARNSTABLE COUNTY REGIONAL SUBSTANCE ABUSE COUNCIL AND PROVIDE LEADERSHIP TO PLANNING AND IMPLEMENTATION EFFORTS. GOAL STATUS: KEY HOSPITAL STAFF ENGAGED IN DEVELOPING THE INITIAL STRUCTURE OF THE 35 MEMBER COUNCIL LED PREVENTION AND EDUCATION WORKGROUPS AND PROVIDED HOSPITAL UTILIZATION AND COST DATA TO ESTABLISH COMMUNITY BENCHMARKS FOR THE IMPACT OF SUBSTANCE ABUSE. GOAL DESCRIPTION: WORK ACROSS THE COMMUNITY WITH HEALTH PROFESSIONALS, SCHOOLS, COMMUNITY AGENCIES, AND TOWN COALITIONS TO LAUNCH A SERIES OF EDUCATION EVENTS ON SUBSTANCE USE DISORDER. GOAL STATUS: THE INITIATIVE ENGAGED OVER 120 MEDICAL PROFESSIONALS IN THE SCOPE OF PAIN OPIATE PRESCRIBING TRAINING, HOSTED THREE FORUMS ON RECOVERY WITH THE MA ORGANIZATION FOR ADDICTION RECOVERY, SUPPORT FIVE TOWN COALITION/YOUTH ORGANIZED EDUCATION EVENTS. GOAL DESCRIPTION: ASSIST IN PILOTING OR IMPLEMENTING NEW AND EMERGING STRATEGIES AND PROGRAMS IN THE COMMUNITY TO IMPACT YOUTH. GOAL STATUS: THE INITIATIVE PROVIDED FUNDING AND LEADERSHIP SUPPORT TO LAUNCH THE YMCA'S TEEN ACHIEVERS PROGRAM, EXPAND BOTVIN LIFE SKILLS TRAINING TO YOUTH, SUPPORT AFTER SCHOOL PROGRAMS AND PILOT A HOSPITAL TO HOME PROGRAM FOR SUBSTANCE EXPOSED NEWBORNS. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS YMCA CAPE COD: HTTP://YMCACAPECOD.ORG/ BARNSTABLE COUNTY HUMAN SERVICES: WWW.BCHUMANSERVICES.NET GOSNOLD ON CAPE COD: WWW.GOSNOLD.ORG THE KELLEY FOUNDATION: HTTP://WWW.KELLEYFOUNDATION.ORG/ THE PALMER AND JANE D. DAVENPORT FOUNDATION: HTTP://WWW.DAVENPORTFOUNDATION.ORG/ CARON TREATMENT CENTERS: WWW.CARON.ORG CAPE COD FOUNDATION : WWW.CAPECODFOUNDATION.ORG CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED HEALTHY PARKS, HEALTHY PEOPLE: A WELLNESS COLLABORATION BETWEEN CAPE COD HEALTHCARE AND THE CAPE COD NATIONAL SEASHORE PROGRAM TYPE: PREVENTION STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS BRIEF DESCRIPTION OR OBJECTIVE: CAPE COD HEALTHCARE COLLABORATED WITH THE CAPE COD NATIONAL SEASHORE TO PROMOTE WELLNESS, EXERCISE AND PHYSICAL ACTIVITY TO IMPROVE THE HEALTH OF CAPE COD RESIDENTS AND VISITORS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: HEALTHY PARKS, HEALTHY PEOPLE FEATURED A SEASON-LONG WALKING PASSPORT PROGRAM TO ENGAGE AND ENCOURAGE RESIDENTS AND PROVIDE ONSITE HEALTH ASSESSMENT SERVICES TO PARTICIPANTS. GOAL STATUS: OVER 170 INDIVIDUALS ARE PARTICIPATING IN THE PROGRAM AND RECEIVED PRE-WALK ASSESSMENTS, BLOOD PRESSURE TESTING AND SCHEDULED HEALTH CLINICS. HEALTH IMPROVEMENT DATA IS CURRENTLY BEING COLLECTED AND ANALYZED. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS NATIONAL PARK SERVICE: WWW.NPS.GOV/.../HEALTHY-PARKS-HEALTHY-PEOPLE COA'S SERVING TOGETHER (COAST): HTTPS://WWW.FACEBOOK.COM/CAPECODCOAST/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE:508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
LIVESTRONG CANCER SURVIVORSHIP PROGRAM AT THE YMCA CAPE COD	PROGRAM TYPE: GRANT/DONATION/FOUNDATION/SCHOLARSHIP STATEWIDE PRIORITY: CHRONIC DISEASE MANAGEMENT IN DISADVANTAGE POPULATIONS, PROMOTING WELLNESS OF VULNERABLE POPULATIONS, REDUCING HEALTH DISPARITY BRIEF DESCRIPTION OR OBJECTIVE: LIVESTRONG AT THE YMCA CAPE COD IS A FREE 12-WEEK PROGRAM FOR CANCER SURVIVORS SPECIALLY DESIGNED TO HELP SURVIVORS REGAIN PHYSICAL STRENGTH, OVERCOME FATIGUE, INCREASE FLEXIBILITY AND BUILD SOCIAL CONNECTIONS TO OTHER SURVIVORS. TARGET POPULATION REGIONS SERVED: COUNTY-BARNSTABLE HEALTH INDICATOR: PHYSICAL ACTIVITY SEX: ALL AGE GROUP: ADULT ETHNIC GROUP: ALL LANGUAGE: ALL GOAL DESCRIPTION: CONDUCT TWO 12 WEEK LIVESTRONG SESSIONS FOR NINE PARTICIPANTS PER SESSION. GOAL STATUS: A TOTAL OF 18 RESIDENTS PARTICIPATED IN TWO FULL COMPLETED SESSIONS WHICH OFFERED OVER 95 HOURS OF LIVESTRONG SPECIFIC CLASSES TO PARTICIPANTS. GOAL DESCRIPTION: PARTICIPANT SURVEYS WERE CONDUCTED PRIOR TO THE START OF THE PROGRAM AND AT THE END OF THE PROGRAM TO GAUGE INCREASED MUSCLE STRENGTH AND ENDURANCE, INCREASED FLEXIBILITY, REDUCTION OF SEVERITY OF SIDE EFFECTS OF MEDICATION AND IMPROVED SELF-ESTEEM AND ENERGY LEVELS. GOAL STATUS: 100% OF PARTICIPANTS IN EACH SESSION REPORTED IMPROVEMENTS IN STRENGTH, FLEXIBILITY AND SELF-ESTEEM, A REDUCTION IN THE SIDE EFFECTS OF MEDICATION SINCE ENROLLMENT IN THE PROGRAM. PARTNERS PARTNER NAME, DESCRIPTION PARTNER WEB ADDRESS YMCA CAPE COD: YMCACAPECOD.ORG/PROGRAMS/HEALTH-WELL-BEING/LIVESTRONG/ CONTACT INFORMATION: LISA GUYON, DIRECTOR OF COMMUNITY BENEFITS, CAPE COD HEALTHCARE, 88 LEWIS BAY ROAD, HYANNIS, MA 02601, PHONE: 508-862-7896, LGUYON@CAPECODHEALTH.ORG DETAILED DESCRIPTION: NOT SPECIFIED
FUNCTIONAL EXPENSE NOTE	FORM 990 PART I AND PART IX FUNDRAISING IS CONDUCTED ON BEHALF OF CAPE COD HEALTHCARE, INC. BY CAPE COD HEALTHCARE FOUNDATION, INC. CERTAIN OFFICERS ARE COMPENSATED BY CAPE COD HEALTHCARE, INC. FUNDS RAISED ARE REPORTED AT CAPE COD HEALTHCARE, INC. AND AFFILIATES. FORM 990, PART I, LINE 6 CAPE COD HEALTHCARE, INC.'S VOLUNTEERS INCLUDE ITS TRUSTEES. FORM 990, PART VI, LINE 2 TRUSTEES SIT ON THE BOARD OF THE FOLLOWING: EMERALD PHYSICIAN MEMBER TRUST: THOMAS WROE JR ROBERT BIRMINGHAM PHILIP MCLOUGHLIN JOEL CROWELL CAPE HEALTH INSURANCE COMPANY: MICHAEL K LAUF MICHAEL L CONNORS MICHAEL G JONES PATRICK J FLYNN, MD PHILIP MCLOUGHLIN SUMNER B TILTON, JR THE MEMBERS OF CAPE COD HEALTHCARE, INC.'S BOARD ALSO SIT ON THE BOARD OF CAPE COD MEDICAL OFFICE BUILDING, A FOR-PROFIT RELATED ORGANIZATION. FORM 990, PART VI, LINE 7(A) THE ORGANIZATION HAS MEMBERS/INCORPORATORS WHO ELECT THE ORGANIZATION'S TRUSTEES. FORM 990, PART VI, LINE 7(B) THE DECISIONS OF THE GOVERNING BODY THAT NEED APPROVAL BY ITS MEMBERS/INCORPORATORS INCLUDE APPROVAL OF CHANGES MADE TO THE CORPORATION'S BYLAWS AND APPROVAL WHEN THERE IS A DIVESTING OF ONE OF THE MAJOR AFFILIATES OF THE ORGANIZATION. FORM 990, PART VI, LINE 11 THE ORGANIZATION'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE ORGANIZATION ENGAGES A PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND WHO SIGNS AS PAID PREPARER. SENIOR MANAGEMENT OF THE ORGANIZATION IS RESPONSIBLE FOR THE TIMELY PREPARATION OF FORM 990. THE COMPLETED FORM 990, WITH THE EXCEPTION OF AN ANONYMOUS DONOR, IS PROVIDED TO THE FINANCE COMMITTEE AND THE ENTIRE BOARD IN ADVANCE OF THE FILING DEADLINE. FORM 990, PART VI, LINE 12 THE ORGANIZATION MAINTAINS A CONFLICT OF INTEREST POLICY AND REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THIS POLICY. ON AN ANNUAL BASIS, EACH TRUSTEE, OFFICER AND EMPLOYEE AT THE SENIOR MANAGEMENT LEVEL COMPLETES A CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE REVIEWED BY CAPE COD HEALTHCARE, INC.'S ("CCHC") DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE WHO PREPARES A SUMMARY FOR CCHC'S COMPLIANCE OFFICER. ANY MATERIAL INTERESTS SO DISCLOSED ARE PRESENTED TO THE CORPORATION'S GOVERNANCE COMMITTEE FOR REVIEW AND RESOLUTION. ALL DISCLOSURE STATEMENTS SUBMITTED BY EMPLOYEES WILL BE REVIEWED BY HUMAN RESOURCES AND/OR CCHC'S DIRECTOR OF CLINICAL AND RESEARCH COMPLIANCE. FOR ANY DISCLOSURE THAT IS CONSIDERED SUBSTANTIVE THE EMPLOYEE'S AREA MANAGER WILL BE CONSULTED TO DETERMINE IF THE SITUATION IS GENERALLY ACCEPTABLE, REQUIRES FURTHER EXAMINATION AND POSSIBLE ACTION OR IS GENERALLY NOT ACCEPTABLE. ANY ACTION PLAN CREATED TO MANAGE A CONFLICT OF INTEREST WILL BE MONITORED BY THE EMPLOYEE'S AREA MANAGER OR SUPERVISOR.
FORM 990, PART VI, LINE 15	THE ANNUAL PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S CEO, OFFICERS, EXECUTIVES AND KEY EMPLOYEES INCLUDE THE FOLLOWING: CEO - COMPENSATION WILL BE DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES, AND WILL INCLUDE CONSIDERATION OF RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. OFFICERS, EXECUTIVES AND KEY EMPLOYEES - OFFICER, EXECUTIVE AND KEY EMPLOYEE COMPENSATION WILL BE DETERMINED BY THE CEO AND WILL INCLUDE CONSIDERATION OF RECENT RELEVANT MARKET DATA FURNISHED BY A DISINTERESTED COMPENSATION CONSULTANT, AND A REVIEW OF JOB PERFORMANCE. THE CEO'S DETERMINATION OF SUCH COMPENSATION WILL BE SUBJECT TO THE APPROVAL OF THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES. THE PROCESS AND CONCLUSIONS ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, LINE 19	THE ORGANIZATION MAKES ITS BYLAWS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. THE ORGANIZATION'S FINANCIAL STATEMENTS ARE ALSO ATTACHED TO THE ANNUALLY FILED FORM PC, A PUBLICLY DISCLOSED TAX-EXEMPT ORGANIZATION FILING FOR THE STATE OF MASSACHUSETTS.
FORM 990, PART VII, COLUMN (B)	THE INDIVIDUALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN PART VII ARE EMPLOYEES AT CAPE COD HEALTHCARE, INC., A TAX-EXEMPT RELATED ORGANIZATION. FORM 990, Part VII, Section A Title for Carter Hunt: Executive Director - Hospital/Medical/Surgical Practices from 1/14. Title for Kevin Mulroy: Chief Medical Info Officer (from 8/14) and Chief Quality & Safety Officer until 2/15, COO from 2/15. FORM 990, PART VII, SECTION B WITH THE EXCEPTION OF REPORTING FOR VISITING NURSE ASSOCIATION OF CAPE COD, INC, CAPE COD HEALTHCARE, INC. PAYS INDEPENDENT CONTRACTORS ON BEHALF OF ITS AFFILIATES WHO FILE AS PART OF A GROUP FORM 990 AS CAPE COD HEALTHCARE, INC. AND AFFILIATES.
FORM 990, PART XI, LINE 9	OTHER CHANGES IN NET ASSETS OR FUND BALANCES NET ASSETS RELEASED FROM RESTRICTION $762,756 TRANSFERS TO/FROM AFFILIATES (2,542,283) CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT (1,432,557) CHANGE IN VALUE OF BENEFICIAL INTEREST (1,474,906) INVESTMENT IN AFFILIATE (3,950,591) OTHER CHANGES TO NET ASSETS (1,623,255) -------------- $(10,260,836)
AFFILIATES INCLUDED IN GROUP RETURN	CAPE COD HOSPITAL 04-2103600 CAPE COD HUMAN SERVICES, INC. 04-2323506 CAPE & ISLANDS HEALTH SERVICES II, INC. 04-3572408 FALMOUTH HOSPITAL ASSOCIATION, INC. 04-2220716 JML CARE CENTER, INC. 04-2995795 FALMOUTH ASSISTED LIVING, INC. 22-3379395 VNA OF CAPE COD, INC. 04-2104159 CAPE COD HEALTHCARE FOUNDATION, INC. 04-3475950 MEDICAL AFFILIATES OF CAPE COD, INC. 04-3187299 ALL OF THE ABOVE ENTITIES, EXCEPT THE VNA OF CAPE COD, INC., CAN BE REACHED AT: 25 COMMUNICATION WAY HYANNIS, MA 02601 THE VNA OF CAPE COD, INC. CAN BE REACH AT: 255 INDEPENDENCE DRIVE HYANNIS, MA 02601

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD HEALTHCARE INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	25 COMMUNICATION WAY	AddressLine1Txt
City	HYANNIS	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02601	ZIPCd

Field	Value	IRS element (for citing)
EIN	222600704	EIN
Primary Activities	PARENT CORP	PrimaryActivitiesTxt
Legal Domicile State	MA	LegalDomicileStateCd
Exempt Code Section	501(c) (3)	ExemptCodeSectionTxt
Public Charity Status	13b	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE COD PET-CT SERVICES LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	700 CONGRESS STREET	AddressLine1Txt
City	QUINCY	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	263910955	ZIPCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	NA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Share Of Total Income	$686,820	ShareOfTotalIncomeAmt
Share Of EOY Assets	$333,127	ShareOfEOYAssetsAmt
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.50000	OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Legal Domicile StateLegalDomicileStateCd
CAPE HEALTH INSURANCE COMPANY
PO BOX 1051GT	GRAND CAYMAN	CJ	INSURANCE	CJ	CAPE COD HLTHCR	C CORP	$0	$0	0.00000	Yes (true)
CAPE COD MEDICAL OFFICE BUILDING INC
			RENTAL SRVCE		NA	C CORP	$15,000	$16,250	1.00000	Yes (true)	27 PARK STREET	HYANNIS	MA	02601	042423073	MA
POOLED INCOME FUNDS (2)
			SUPPORT		NA	T										MA
EMERALD PHYSICIAN SERVICES LLC
			PRIMARY CARE		EMERALD TRUST	S CORP	$22,837,560	$17,077,271	1.00000	Yes (true)	433 WEST MAIN STREET	HYANNIS	MA	02601	043369730	MA
EMERALD PHYSICIANS MEMBER TRUST
			EMRLD SHAREHO		MACC	TRUST	$0	$0	1.00000	Yes (true)	27 PARK STREET	HYANNIS	MA	02601	467220648	MA

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAPE HEALTH INSURANCE COMPANY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	R	TransactionTypeTxt
Involved	$2,249,045	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Business Name ControlBusinessNameControlTxt
CAPE COD HOSPITAL
25 COMMUNICATION WAY	HYANNIS	MA	02601	042103600	CAPE
VISITING NURSE ASSN OF CAPE COD INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042104159	CAPE
FALMOUTH HOSPITAL ASSOCIATION INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042220716	CAPE
CAPE COD HUMAN SERVICES INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042323506	CAPE
MEDICAL AFFILIATES OF CAPE COD INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	043187299	CAPE
CAPE COD HEALTHCARE FOUNDATION INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	043475950	CAPE
CAPE & ISLANDS HEALTH SERVICES II
25 COMMUNICATION WAY	HYANNIS	MA	02601	043572408	CAPE
FALMOUTH ASSISTED LIVING INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	223379395	CAPE
JML CARE CENTER INC
25 COMMUNICATION WAY	HYANNIS	MA	02601	042995795	CAPE